Follow DCH on Twitter! Like DCH on Facebook! Watch DCH Videos on YouTube! Keep up with DCH by visiting our newsroom!
Patient Portal Access Form

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.