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Medical Record Requests

How do I request medical records?

We are dedicated to maintaining accurate medical records and keeping your health information private and secure in accordance with your rights as a patient, and with federal and state regulations.

If you would like a copy of your medical records, please provide a signed Authorization Form specifying what medical records are needed, and where the information should be sent.

Frequently Asked Questions

When you request medical records you must provide:

- Name
- Date of Birth
- Date of Service
- Proper Identification
- Complete name and address or fax number of where medical records should be sent

We will send your records to the address or fax number that you provided on the Authorization Form.

Please allow 7 days for your request to be processed. We will contact you when your records are available for pick-up or mailing.

The Health Information Management Department will coordinate the release of all records at the Memorial Hospital campus which include the following practices:

Primary Care
Orthopedics & Sports Medicine
Women’s Health
Wound Care
Oncology & Infusion Services
Walk-In Clinic
Diabetes
Sleep Medicine
Physical Therapy
Surgery & Urology
Inpatient
Emergency Room
Surgeries
Labs
Radiology