All patient information requests must be submitted in writing via the Authorization for the Release of Health Records form.
For Correctional Health Service Requests please see "Correctional Health Services Form" at the bottom of this page.
Please fill the "Authorization for the Release of Health Records" form out completely, as we need this information to process your request. Information and tips for completing the form are available in the Authorization Form Instructions. Once the form is complete, please mail or fax it to each hospital/facility you are requesting records from.
Click here to find the specific health care location
For additional questions regarding your health record request, please visit our helpful Release of Health Records resource document.
For Correctional Health Service requests, please fill the "Correctional Health Services Form" out completely, as we need this information to process your request. Information and tips for completing the form are available in the Authorization Form Instructions. Once the form is complete, please mail or fax as instructed at bottom of form.
