For Patients

Medical Records

For additional information, please contact our Medical Records Clerk at 308-882-7336. If they are unavailable please leave a detailed message and we will return your call as soon as possible.  Medical records can be released upon request.

Medical Information Release Form – PDF

  Forms can be:   Emailed:

                             Faxed:  308-882-7341

                             Mailed:  Health Information Management Department

                                          Chase County Community Hospital/Clinic

                                          West 12th Street

                                          Imperial, NE 69033



NESIIS is a secure, web-based system that allows health care providers to keep track of immunizations. You may access your child’s up-to-date immunization logs at: 

Birth Certificate Information

You must contact the State of Nebraska, Vital Statistics to obtain a copy of your birth certificate.
You may do this online:
Or fill out this form and mail to the address on the form.

For any questions please contact Vital Records at:
Phone: 402-471-2871