Medical Records - Molokai General Hospital

Office Hours:

8:00am till 4:30pm
Monday thru Friday

Closed on most major holidays

Contact Info:

Phone (808) 553-3114
Fax (808) 553-3164


A Medical Records Release Form is now available by selecting one of the links below. One of the forms is fillable, as noted, making it easy to complete the form on your computer before printing.

Your completed form can be dropped off during office hours, or faxed.

Feel free to contact MGH Medical Records with any concerns or questions.


Medical Records Release Form (Print)
Medical Records Release Form (Fillable)