Requesting Medical Records
A vitally important part of any hospital stay are the medical records that document the course of treatment. Depending upon the length of a patient's stay, this can sometimes add up to hundreds of pages of documents.
Your written authorization is required before we can fill a request. For copies of your medical information, simply download, print and complete the forms below.
Once complete the forms can be faxed to Health Information Services via the appropriate facility fax numbers listed on the Authorization Form.
Print the Authorization form, (Spanish version)
Due to the large number of requests we process, it may take up to 10 working days to fill your request. You may pick up your copies from the appropriate location listed in the authorization form.
Hours of operation
8 a.m. to 5 p.m.
Monday through Friday
We are closed on major holidays.
Fees for record copies
Records for continuing care may be mailed to a physician at no charge to the patient. (Indicate physician name and address on the authorization form.)
Medical Information Packets from the most recent visit date are provided free of charge and may include: Typed Emergency Room Report, discharge summary, history and physical, operative report, pathology report, lab results and x-ray reports.
For other request types, there is a 25/cent per page copying fee. Once your record is retrieved, a Medicolegal Specialist will let you know via telephone how much the total charge will be.
Filling out the authorization form
Incomplete authorization forms will not be processed.
The faxing of records is only available to/for physicians.
The authorization form must be signed and dated by the patient or legal representative.
If the legal representative is signing the authorization, supporting documentation must be provided (for example: Durable Power of Attorney for Healthcare)
If the patient is deceased, a Death Certificate, Durable Power of Attorney for Healthcare or will must be provided.