MyDCH Access Forms
Patient Portal Proxy Access Form
The completed forms and copies of the required ID can be brought to the Medical Records/Healthcare Management department at any DCH hospital, or sent via
Email: mydch@dchsystem.com
U.S. Mail: Release of Information DCH Health System 809 University Blvd. E. Tuscaloosa, AL 35401 Fax:- Regional Medical Center: 205-759-7151
- Northport Medical Center: 205-333-4724
- Fayette Medical Center: 205-932-1259
For more information about MyDCH, click here.