Patient Information

Access Your Medical Records

To request your medical information, complete the form below. There is no charge if you pick up your medical information from Medical Records from 8 a.m. - 4 p.m., Monday through Friday. Standard charges apply should you want your medical information mailed to you.

• Details: Authorization for the Release of Protected Health Information

Print, complete and mail the form to:

Cleveland Clinic
Attn: Medical Records Department
Mail Code: Ab-103
9500 Euclid Avenue
Cleveland, OH 44195

Or you may fax the completed form to 1.216.587.8043. Please allow 7 - 10 days for processing.

Patient Rights & Responsibilities

We consider you a partner in your Hospital care. When you are well informed, participate in treatment decisions and communicate openly with your doctor and other healthcare professionals, you help make your care as effective as possible. Medina Hospital encourages respect for the personal preferences and values of each individual. While you are a patient in Medina Hospital, it is important that you are aware of your rights and responsibilities.

• Cleveland Clinic Patient Rights and Responsibilities

Advance Directives

While advances in medicine and medical technology save many lives, sometimes this same technology also artificially prolongs life for people who have no reasonable hope of recovery. Take control now by making your wishes known in advance.

In Ohio, legal forms are available to help you make your end-of-life healthcare decisions - Living Will and Health Care Power of Attorney. Always bring copies of your advance directives with you to the hospital.

Remember to communicate your wishes with loved ones and friends so they are aware of your intentions.

*Note: Do Not Resuscitate (DNR) Form is an order that can only be completed by a physician. Talk to your doctor to learn more.

Central Scheduling

To schedule an appointment for testing or a procedure at Medina Hospital, call the Central Scheduling Office at 330.721.5350.