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.  If you are an outside medical facility requesting records please contact us directly at (308) 882-7336.

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