For questions or more information please contact our Health Information Management Department (HIM) at 618-443-2177, ext. 3336.
Click the buttons below to download your Patient Forms
The Patient Intake form provides Sparta Community Hospital with important personal information about your health history and individual healthcare needs.
This form allows you to give an authorized representative access to your personal health information through the patient portal.
This form is your request for access to your own health information via a patient portal account.
Complete this form to request Sparta Community Hospital to send your medical records to another person or organization.
Complete this form to request a Quality Health Care Clinic send your medical records to another person or organization.