Call (512) 535 7487 (9:00 AM to 5:00 PM EST) to request Medical Records/Patient Statements/Itemized Bills. Request Medical Records – Hospital Click here to fill the online form

I hereby authorize Knox Clinic to release the following information from the medical records of:

Authorization for Release of Health Information form I hereby authorize Galesburg Cottage Hospital to release the following information from the medical records of: Patient Information First Name: * …

If you’re unable to pay your bill in full, please let us know. Our account representatives at (512) 535-7487 can assist you. We also offer monthly payment schedules and other financial assistance …

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Please complete it and send it via email to [email protected]