My新月直播 Access Forms
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 新月直播 hospital, or sent via
Email: mydch@dchsystem.com
U.S. Mail: Release of Information 新月直播 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
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