How to get a parent’s records without the portal

Advocate Health Care, IL

Health Information Management Department

1. 1Download the Authorization to Release Protected Health Information form. Instructions for filling it in are on the page.
2. 2Your parent signs it and names you to receive the records. A signed letter with the same details also works.
3. 3Email, fax or mail it to the Health Information Management department of the hospital that treated your parent. Each hospital's fax and email is on the page. You can also drop it off.
4. 4Say which format you want: paper or electronic.

Family members:

The request must carry the signature of the patient whose records are released, or their legal representative.

Cost, as the hospital states it:

There is no cost if your medical records are being sent directly to a doctor or other health care provider. For other types of requests, there may be a reasonable fee.

Atlantic Health, NJ

Medical Records (Release of Information)

1. 1Print the patient authorization form, or fill in the online version on the page. Your parent signs it and names you.
2. 2Mail, fax, scan or email it to the hospital where your parent was treated, or bring it in person.
3. 3If you pick up the records for your parent, bring a written request from your parent and your photo ID.

Family members:

In most cases, patients or their personal representative may request medical records at no charge. Someone else can pick up records with a written request and must show a valid driver's license, passport or county ID.

Cost, as the hospital states it:

Medical records sent directly to a physician's office or other health care facility are always free. Medical records maintained electronically are free for the first copy; subsequent copies cost $6.50. Medical records maintained on paper incur a $6.50 fee.

Time, as the hospital states it:

Atlantic Health will make every effort to prepare your medical records in a timely manner; we will advise you of the estimated completion date.

Atrium Health, NC

Corporate Health Information Management – Release of Information

1. 1Download the Authorization for Release of Health Information form. This is the form for sending records to someone other than the patient.
2. 2Your parent fills it in, signs it, and names you to receive the records.
3. 3Send it by mail, fax or email (medicalrecordsroi@advocatehealth.org), as the page lists.
4. 4Questions, or to get a blank form by mail: 844-383-2109.

Family members:

Patients over 18 usually must sign or request records themselves. A legal guardian or representative must give proof of authority, such as a health care power of attorney.

Baptist Health (Jacksonville), FL

Release of Information Office

1. 1Fill in the release authorization form, on paper or with the online form on the page. Your parent signs it and names you.
2. 2Send it by mail to Baptist Health, Release of Information Office, P.O. Box 10757, Jacksonville, FL 32247, by fax to 904.202.5381, or by email to HIM.ROI@bmcjax.com.
3. 3If you act for your parent, add proof such as a durable power of attorney.
4. 4Questions: 904.202.5380, Monday to Friday, 8 am to 4:30 pm.

Family members:

Representatives, including legal guardians, family members, or people with power of attorney, may be asked for documents showing legal authority, such as a durable power of attorney that allows release of medical records.

Cost, as the hospital states it:

No charge in the patient portal. Copies by other means may incur a reasonable cost-based fee; you are told of any charges first.

Time, as the hospital states it:

Requests are fulfilled within 30 days; most personal patient requests are processed within 5-7 business days.

Beth Israel Lahey Health, MA

Health Information Management

1. 1Each Beth Israel Lahey Health hospital handles its own paper requests. Find your parent's hospital in the list on the page.
2. 2Call that hospital's Health Information Management office at the number listed, or open its own medical records page from the page.
3. 3Ask for their authorization form. Your parent signs it and names you to receive copies.

Family members:

Who can request: patients, parents of minor patients, and caregivers acting on behalf of a patient (for example, under a power of attorney).

Cedars-Sinai, CA

Health Information Department (Medical Records)

1. 1Print the Authorization for Use or Disclosure of Health Information form. Your parent fills it in, signs it and names you.
2. 2Fax it to 310-423-0113, or mail it to Release of Information, Health Information Department (Medical Records), Cedars-Sinai Medical Center, 8700 Beverly Blvd., Room 2800, Los Angeles, CA 90048.
3. 3Ask for copies by email, which are free. Or pick them up weekdays, 8 am to 4:30 pm.
4. 4Questions: 310-423-2259.

Family members:

Another person may not receive copies of your medical record without a consent form authorizing Cedars-Sinai to release copies to him or her.

Cost, as the hospital states it:

If you need records on paper, a per-page fee will be charged. Records sent via email or patient portal are free of charge.

Time, as the hospital states it:

Requests will be processed within five to seven business days.

Cleveland Clinic, OH

Health Information Management

1. 1Download the Authorization for the Release of Medical Information form. A Spanish form and an online version are on the page.
2. 2Your parent fills in all fields, signs and dates it, and names you to receive the records.
3. 3Fax it to 216.587.8043 or mail it to the address on the form.
4. 4Questions: Health Information Management, 216.444.5580.

Cost, as the hospital states it:

There may be a fee associated with requests for legal, insurance claims, or personal use purposes.

Time, as the hospital states it:

Typical processing time is 7-10 business days.

Corewell Health, MI

Health Information Management Department

1. 1Print the authorization form. It also comes in Arabic, Spanish and Vietnamese.
2. 2Your parent fills it in and signs it by hand, and names you to receive the records.
3. 3Send it to the Health Information Management department of the hospital that treated your parent. The page lists each hospital's address, phone and fax.

Duke Health, NC

Health Information Management – Release of Information

1. 1Download the Duke Health authorization form. A Spanish form and instructions are on the forms page.
2. 2Your parent fills it in, signs it, and names you to receive the records.
3. 3Send it by fax (919-620-5165), email (ROI-Requestor3@dm.duke.edu) or mail to Release of Information, as the page lists.

Family members:

Written authorization is required. Duke also has a separate form so a friend or family member can be given information by phone.

Emory Healthcare, GA

Health Information Management (HIM) – Release of Information

1. 1Download the Emory Healthcare Authorization for the Release of Protected Health Information form. The packet includes a fee sheet.
2. 2Your parent fills it in, signs it, and names you to receive the records.
3. 3Fax, mail or email it to the medical records office of the Emory hospital that treated your parent. Each hospital's details are on the page.
4. 4If you hold power of attorney, you can use the free online request tool on the page. It checks your driver's license.

Family members:

The online request tool can be used by caregivers acting on a patient's behalf (power of attorney).

Cost, as the hospital states it:

There is no charge to have your medical records sent to another medical facility. Please see Patient Fee Sheet, which is the 4th page of the authorization packet.

Endeavor Health, IL

Health Information Management

1. 1On the page, choose the area where your parent was treated. Each area has its own form and contacts. The form linked here is for the northern suburbs and Chicago north side.
2. 2Your parent fills in the Authorization to Disclose Records form, signs it, and names you to receive the records.
3. 3Send it by mail, email (releaseforms@endeavorhealth.org) or fax, or use the online request form, as the page lists for that area.
4. 4To pick up in person, the patient must sign the form and write your name as the recipient. Bring photo ID.

Family members:

If someone is picking up records for the patient, the form must be completed and signed by the patient, with the recipient's name listed.

Time, as the hospital states it:

Turnaround time: 7–10 business days (in-person requests, northern suburbs and Chicago north side).

Houston Methodist, TX

Health Information Department (Release of Information / Medical Records)

1. 1Download the Authorization for Use and Disclosure of Health Information form.
2. 2Your parent fills it in and signs it, and names you as the person to receive the records.
3. 3Send it by mail, fax or email to the Houston Methodist hospital where your parent was treated. Each hospital's address, fax and email is on the page.
4. 4Ask for electronic copies (PDF) of lab results and discharge summaries.

Family members:

If you are not the patient, use the Authorization for Use and Disclosure form. It must be filled out by the patient or the patient's guardian or legal representative.

Intermountain Health, UT

Centralized Release of Information / Medical Records

1. 1Download the authorization form for sending records to someone else.
2. 2Your parent fills it in, signs it, and names you to receive the records. Choose the format: paper, CD, USB or email.
3. 3Send it to the office for the state where your parent was treated. Colorado, Nevada, Montana, Wyoming: email, fax or mail to Broomfield, CO. Utah, Idaho: email, fax or mail to Murray, UT. Details are on the form.

Family members:

The form has a signature line for a guardian or personal representative, with their relationship to the patient.

Cost, as the hospital states it:

I may review my medical record without a charge. If I request copies of my medical record, I may be charged a fee. (from the form)

Kaiser Permanente (Northern California), CA

Release of Medical Information (ROMI)

1. 1Write a request for the records and have your parent sign it. Your parent can also fill in the authorization form to name you.
2. 2Mail it to Release of Medical Information, 25 N. Via Monte, Walnut Creek, CA 94598.
3. 3Do not send copies of forms or records unless asked.
4. 4Questions: 1-925-210-8834, weekdays 9 am to 12:30 pm and 1:30 pm to 5 pm.

Time, as the hospital states it:

Additional time is required for mail delivery and processing.

Main Line Health, PA

Health Information Management

1. 1Download the Authorization for Disclosure of Health Information form. Read the instructions on page 2.
2. 2Your parent fills in the records wanted, the purpose, your name and address, an end date, and signs it.
3. 3Send it by mail, email or fax (610.356.3167), as the page lists.
4. 4Psychiatric, drug or alcohol, HIV/AIDS and sexual abuse records need the form to name them.

Family members:

Records can be released to anyone the patient authorized in writing. Authorizations signed by a representative must include a copy of the guardianship papers or power of attorney.

Cost, as the hospital states it:

In accordance with PA state law, fees are charged for copies: $2.00 per page for pages 1-20, $1.48 for pages 21-60, $0.52 for pages 61-end, plus postage if mailed. No charge for records provided directly to your physician.

MD Anderson Cancer Center, TX

Release of Information Office

1. 1Download the Authorization for the Use and Disclosure of Protected Health Information form.
2. 2Your parent fills it in, signs it, and names you to receive the records.
3. 3Send it by email (ROI@mdanderson.org), fax (1-855-884-3253) or mail, or drop it off. There is also an online request form, including one for a patient's representative, that lets you track the request.
4. 4For urgent requests, call the Release of Information Office at 713-792-6710.

Family members:

The page says patients, caregivers and physicians may request records. It offers a separate online form for a patient's representative.

Memorial Healthcare System, FL

Health Information Management

1. 1Fill in the Authorization for Release of Confidential Medical Records form. Your parent signs it and names you.
2. 2Add a copy of a government photo ID. Requests without ID are not processed.
3. 3Send it by email to records@mhs.net, by fax to 954-276-0600, or by mail to the hospital where your parent was treated.
4. 4Records come by mail or email, never by fax.

Cost, as the hospital states it:

There may be a copy charge for medical records, as authorized by Florida law. No charge if it is necessary for the continuation of medical health care service.

Time, as the hospital states it:

The hospital will respond to the request for information within two business days of receipt.

Mercy, MO

Health Information Management

1. 1Download the Third-Party Request form: Authorization for Use and Disclosure of Protected Health Information.
2. 2Your parent fills it in, signs it, and names you to receive the records.
3. 3Send it to your parent's Mercy doctor's office or the local Mercy Health Information Management office. The page lists each office's fax and email.

Family members:

Requests from anyone other than the patient use the Third-Party Request authorization form.

Michigan Medicine, MI

Health Information Management – Release of Information Unit

1. 1Download the Authorization to Release Copies of a Medical Record form.
2. 2Your parent ticks 'Other', names you, chooses US Mail or email, picks the records (Package 1 has discharge summaries, visit notes and test reports), and signs.
3. 3Mail it to the Release of Information Unit in Ann Arbor (address on the form). There is no walk-in service. Call first to check how to send it.
4. 4Questions: 734-936-5490.

Family members:

If you request records for someone other than yourself, you may need documents showing your legal right, such as guardianship papers. Call 734-936-5490 to ask what is needed. (from the form)

Cost, as the hospital states it:

There will be fees associated with most record requests. Some records requested for legal, insurance, or personal use may require a prepayment. (from the form)

Time, as the hospital states it:

Our average turnaround time for processing requests is five business days plus shipping time. (from the form)

Montefiore Einstein, NY

Health Information Management Department

1. 1Download the authorization form (ROI4987) and its instructions. Your parent fills it in, signs it and names you.
2. 2Mail it to Montefiore Einstein, Attention: Health Information Management Department, 111 East 210th Street, Bronx, NY 10467.
3. 3If you hold your parent's power of attorney, you can use the online request form on the page instead.
4. 4Questions: call 718-920-4921.

Family members:

The online request is for a patient, a parent of a minor child, or a caregiver with legal power of attorney. For an incapacitated patient, the representative must enter their relationship to the patient.

Time, as the hospital states it:

Requests are processed within ten days after the authorization is received.

Mount Sinai Health System, NY

Medical Records Department (HIM/Medical Records)

1. 1Download the form for releasing records to a third party (MR-201). Your parent fills it in, signs it and names you.
2. 2Tick the Mount Sinai sites where your parent was treated and the records you need, such as discharge summaries and lab results.
3. 3Mail it, or bring it in person, to the Medical Records Department at the site where your parent was treated. Bring a government photo ID if you go in person.
4. 4If the records are needed for urgent care, say so and they will speed it up.

Family members:

A third party can obtain a patient's medical records with patient authorization. If the patient is incapacitated, the patient representative must enter their relationship to the patient so the hospital can determine authority.

Cost, as the hospital states it:

There are fees for patients and attorneys. A fee of $6.50 may be charged for electronic record delivered in electronic format. A per page fee may be charged to deliver in paper the electronic record ($0.07 /page) or the paper records ($0.12 /page). No fee for urgent in-person requests.

Time, as the hospital states it:

We will respond to requests for copies within 30 days; once the request is received, we generally respond within 7-10 business days.

NewYork-Presbyterian, NY

Medical Records

1. 1Fill in the authorization form, on paper or with the online request form on the page. Your parent signs it and names you.
2. 2For the paper form, print it, fill it in and email it to MedicalRecords@nyp.org.
3. 3The online form has a choice for 'I am a Patient Representative' if you are your parent's representative.
4. 4Questions: call Customer Service at 646-697-4764.

Family members:

The online authorization form has an option for 'I am a Patient Representative'. The page says nothing more about family members.

Cost, as the hospital states it:

There is no fee when records are released to your patient portal. Fees may apply for any other release method.

Northwell Health, NY

Health Information Management (HIM)

1. 1Print the Authorization form. Your parent fills it in, signs it and names you.
2. 2Send it to the HIM department at the hospital where your parent was treated, by email, fax, mail or in person. Each hospital's contacts are on the page.
3. 3If your parent cannot sign, send proof of your authority, such as a health care proxy or power of attorney.
4. 4For scans and lab tests, ask the place that did them.

Family members:

The patient or their legally appropriate personal representative can access medical records with required documentation. For an incapacitated patient, send documents such as durable or healthcare power of attorney, or a healthcare proxy.

Cost, as the hospital states it:

There is no fee if the records are being released to a doctor or healthcare provider; there is generally a reasonable cost-based fee if the records are being released for a different purpose.

Time, as the hospital states it:

Patient requests will be processed within 10 days from the date received. Patients should allow 3 days from submission before calling for status.

Northwestern Medicine, IL

Health Information Management – Release of Information

1. 1Download the Authorization for Release of Medical Information form and fill in all fields.
2. 2Your parent signs it by hand and names you to receive the records. Records sent to someone other than the patient need a written signature.
3. 3Send it by fax (312.926.3093), email (releaseofinformation@nm.org) or mail, as the page lists.
4. 4Ask for PDF copies by secure email. Questions: 877.973.2673.

Family members:

The online request tool is only for the patient's own records. Others who can sign: a court-appointed guardian or a health care agent named on a power of attorney for health care, with documentation.

Cost, as the hospital states it:

No charge for records sent directly to the patient or to another medical professional. If records go to someone who is not a medical professional, that person may be billed.

NYC Health + Hospitals, NY

Health Information (Medical Records)

1. 1Fill in the authorization form, online or on paper. Your parent signs it and names you.
2. 2Online, you upload a photo and a government photo ID. Records come back by encrypted email.
3. 3On paper, print the form, fill it in and send it to the hospital where your parent was treated. Addresses are on the website.
4. 4Help line: 866-390-7404, Monday to Friday, 8 am to 4 pm.

Family members:

NYC Health + Hospitals will generally honor a patient's request to give information to another party with a written authorization from the patient or their authorized representative.

NYU Langone Health, NY

Health Information Management

1. 1Print the authorization form (an online e-sign version is also on the page). Your parent fills it in, signs it and names you.
2. 2Add a copy of photo ID, as the page asks.
3. 3Email it to the records address for the hospital where your parent was treated (Tisch, Kimmel and Perlmutter: DL_ROITisch@NYULangone.org), or mail it to NYU Langone Health, Health Information Management, 1 Park Avenue, 6th Floor, New York, NY 10016.

Family members:

You must sign the form before submitting it, and the hospital can only process forms from NYU Langone patients. The page says caregivers can get a family member's records with the proper consent through portal proxy access.

Cost, as the hospital states it:

Patients and healthcare providers are not charged to obtain copies of medical records. There are fees for attorney requests.

Time, as the hospital states it:

With this method, it may take several days for you to receive your records.

Ohio State University Wexner Medical Center, OH

Medical Information Management (MIM)

1. 1Download the medical records authorization form.
2. 2Your parent fills in every section, signs it, and names you to receive the records.
3. 3Return it to the address on the form, or fax it (all other requests: 614-366-9442).
4. 4Questions: Main Campus 614-293-8657, East Hospital 614-257-2544.

Family members:

If you have healthcare power of attorney for a patient in the hospital and need help with access, call Medical Information Management.

RWJBarnabas Health, NJ

Medical Records

1. 1Download the release form. Your parent fills it in, signs it and names you.
2. 2Or use the online request form linked on the page and choose electronic delivery (an email with a link to a PDF).
3. 3Return the paper form as the form or the hospital's own page directs. Each hospital has its own address.
4. 4Bring proper identification.

Family members:

For an adult family member's records, the adult family member's permission (signature) is required. Proper identification will be required.

Cost, as the hospital states it:

Requests for copies of medical records for continuing care to be sent directly to another health care provider are free of charge. For all other requests, there is a reasonable cost based fee for copies of medical records.

Time, as the hospital states it:

Most requests will be processed within 3 to 5 business days. Some requests for records that may be in storage or off-site locations may take up to 30 days. Allow 3 additional days for mail delivery.

Sharp HealthCare, CA

Medical Records (Health Information Management)

1. 1Print the Authorization for Use or Disclosure of Protected Health Information form. Your parent fills it in, signs it and names you.
2. 2Choose the Sharp hospital or hospitals and the dates of care. Sharp only releases what is named.
3. 3Email the form to shc.records@sharp.com, or drop it off at a walk-in records location, weekdays 8:30 am to 4:30 pm.
4. 4Questions: 858-541-5400.

Family members:

Anyone requesting records for someone other than themselves who is not the legal guardian uses the paper authorization form. Third party requests should be emailed to shc.records@sharp.com.

Cost, as the hospital states it:

Please note there may be a charge of $6.50.

Time, as the hospital states it:

Please note medical records requested by patients may take up to 15 days to complete.

Stanford Health Care, CA

Health Information Management Services

1. 1Print the Authorization for Release of Health Information form. Your parent fills it in, dates it and signs it, naming you.
2. 2Mail it to Stanford Health Care, Health Information Management Services, Patient Records, 450 Broadway, Mail Code 6330, Redwood City, CA 94063, or fax it to 650-725-9821.
3. 3If you pick up the records for your parent, bring an original signed letter from your parent and your photo ID.

Family members:

A patient, or his/her legal representative, may inspect and/or obtain a copy of their medical records. Someone picking up for the patient must have an original signed authorization letter from the patient and a photo ID.

Cost, as the hospital states it:

No charges for page count if 75 pages or less. $0.15 per page for 76 pages and over. If your charges exceed $100, we require payment before the records are released.

Time, as the hospital states it:

Please allow up to 14 calendar days for your request to be processed.

Stony Brook Medicine, NY

Medical Records (Health Information Management)

1. 1Use the authorization form for release to a third party. Your parent fills it in, signs it and names you.
2. 2If you are your parent's legal representative, use the representative version of the online request form or paper form on the page instead.
3. 3Send the form as the page directs. Call (631) 689-8333 to confirm where to send it.

Family members:

Different forms are used if you are the patient or a patient representative. If the patient is incapacitated, a legally responsible personal representative can sign.

Time, as the hospital states it:

All requests will be processed within ten (10) business days of receipt of the requests.

Tampa General Hospital, FL

Health Information Management (Release of Information)

1. 1Use the Authorization to Disclose Health Information form. Your parent signs it and names you.
2. 2Send it by email to roirequests@tgh.org, by fax to (813) 844-5891, or by mail to PO Box 1289, as listed on the form.
3. 3Questions: (813) 844-7533, Monday to Friday, 9 am to 4 pm.

Family members:

Third parties must complete and submit the Authorization to Disclose Health Information form to the TGH Health Information Management department.

Cost, as the hospital states it:

In most cases there is a charge for copies of your medical record. You will be informed of the charge before copies are provided.

Time, as the hospital states it:

Your request will be processed within 30 days.

UC Davis Health, CA

Health Information Management (Release of Information Unit)

1. 1Fill in the Authorization for Release of Health Information form, on paper or with the online e-sign link on the page. Your parent signs it and names you.
2. 2Send it by email to roi@health.ucdavis.edu or by fax to 916-734-2126, as listed on the form. Walk-in service is not offered.
3. 3On the form, choose email delivery to get electronic copies.
4. 4If your parent cannot sign, send legal papers such as a medical power of attorney.

Family members:

If the patient is unable to sign, legal documentation will be required (Medical Power of Attorney, etc). The patient representative does not have to be a UC Davis patient.

Cost, as the hospital states it:

The form says: Fees may apply for copies of your records.

UCI Health, CA

Medical Records (Medical Correspondence)

1. 1Print the Authorization for Release of Health Information form. Your parent fills it in, signs it and names you.
2. 2Add a clear copy of a valid photo ID.
3. 3Fax it to 888-522-3679, or mail it to Medical Correspondence, UCI Medical Center, Building 25, 101 The City Drive South, Route 118, Orange, CA 92868. Email is accepted only from patients and providers.
4. 4Questions: 714-456-5670, weekdays 8 am to 4:30 pm.

Family members:

Records can be released directly to an authorized family member; the first 20 pages are free.

Cost, as the hospital states it:

There is no charge to send your medical records to another healthcare provider. For records released directly to a patient or an authorized family member there is no charge for the first 20 pages. Additional pages are charged at $0.25 per page.

Time, as the hospital states it:

Please allow seven to 10 business days for processing from date of receipt of the completed authorization. California law permits up to 15 days to respond.

UCLA Health, CA

Health Information Management Services

1. 1Print the Authorization for Release of Health Information form. Your parent fills it in and signs it by hand, naming you.
2. 2Fax it to 310-983-1468, email it to roi@mednet.ucla.edu, or mail it to UCLA Health, Health Information Management Services, 10833 Le Conte Ave., CHS, BH-902, Los Angeles, CA 90095.
3. 3Electronic signatures are not accepted. Unsigned or incomplete forms are sent back.

Family members:

The form is for release of health information to the patient or a third party (for example a non-UCLA provider, insurance company or attorney).

Cost, as the hospital states it:

UCLA Health will invoice you for the production of records, and will invoice you by mail/email.

UMass Memorial Health, MA

Office of Health Information Management (HIM)

1. 1Download the medical records release form (authorization for the disclosure of protected health information). It comes in several languages.
2. 2Your parent fills it in, ticks any sensitive record types needed, signs and dates it, and names you to receive the records.
3. 3Send it by email (MedCtrMR@umassmemorial.org, with photos of both sides), fax (508-334-9717) or mail to the HIM Department in Worcester.
4. 4Choose an abstract (medicines, allergies, lab results, tests, visit report) or the entire record. The abstract costs less.

Family members:

Use the release form if you are requesting records on behalf of someone else. A health care proxy can request only after the doctor has activated the proxy, and only for continuing care.

Cost, as the hospital states it:

There may be fees associated with certain types of requests. Fees are based on state and federal guidelines. A fee for photocopies may apply per Massachusetts General Law, Chapter 111, Section 70.

Time, as the hospital states it:

Please allow us up to 30 days to process your request.

UPMC, PA

Release of Information Department

1. 1On the page, pick the UPMC hospital that treated your parent and open its records page.
2. 2Download the Authorization for the Release of Protected Health Information form. Your parent fills in Part 1 and Part 2, signs, dates it, and names you.
3. 3Scan and email it to ROIRequest@upmc.edu or mail it, as the hospital's page lists.
4. 4Pay the invoice UPMC sends. Choose electronic or paper copies on the form.

Family members:

Patients may request a copy of their medical record or ask to send it to someone else.

Cost, as the hospital states it:

UPMC may charge fees allowable under State law and HIPAA. We do not charge a fee to release medical records to physicians or other health care facilities. There may be a fee to release copies for personal use or to release copies to a third party.

Time, as the hospital states it:

After we receive your authorization form, we will send you an invoice for the cost of your records. You should get this invoice within 7 and 10 days.

UR Medicine (University of Rochester Medical Center), NY

Health Information Management (Release of Information)

1. 1Fill in the Patient Access form, or write a signed letter with your parent's name and date of birth, the records wanted, and where to send them.
2. 2Your parent signs it. If you sign under a power of attorney or health care proxy, add those papers.
3. 3Send it one way only: fax (585) 424-2922 or email inforelease@urmc.rochester.edu.
4. 4Questions: (585) 275-2605.

Family members:

An authorization signed by the POA is valid when the POA document grants authority to request medical records. A health care proxy can get records only if the proxy document is found; otherwise the treating doctor may write a letter.

Cost, as the hospital states it:

For more information regarding fees, please contact them directly at (315) 350-3779.

Time, as the hospital states it:

Patient requests are prioritized and are normally processed between 2-14 business days.

UT Southwestern Medical Center, TX

Health Information Management (HIM) – Release of Information

1. 1Download the Authorization to Disclose Protected Health Information form. A Spanish form and filling-in instructions are on the page.
2. 2Your parent fills in every part, signs it, and names you to receive the records.
3. 3Send it by fax (214-645-9141), email (Medical.Records@UTSouthwestern.edu) or mail to Health Information Management – ROI, as the page lists.
4. 4Ask for electronic copies (PDF). The page says requests are processed electronically unless you ask for another format.

Family members:

If the person signing is the patient's legal guardian, executor of the estate, or medical power of attorney, they must send a copy of the legal document showing their authority. The person picking up records must show acceptable ID.

Cost, as the hospital states it:

There is usually no charge for records requested by patients. A reasonable fee may apply depending on the volume of records or delivery method. For all other requests, a reasonable fee may apply according to Texas State guidelines.

Time, as the hospital states it:

Urgent requests can be processed on the same day (if records are available, complete, and signed and the encounter is closed) by noting "stat/urgent" on the request.

Virtua Health, NJ

Health Information Management Department

1. 1Fill in the Release of Patient Information form. Your parent signs it and names you.
2. 2Add a note with the date, or about the date, of the visit, procedure or hospital stay.
3. 3Mail or fax it to the Health Information Management Department of the hospital where your parent was treated. Each hospital's fax is on the page (for example Voorhees: 856-247-3758).
4. 4Or bring the request, the form and a government photo ID in person, Monday to Friday, 8:30 am to 5 pm. Requests by phone are not accepted.

WellSpan Health, PA

Health Information Management – Release of Information

1. 1Download the Authorization to Use or Disclose Health Information form. It comes in several languages.
2. 2Your parent fills it in, signs it, and names you to receive the records. List every WellSpan location on one form.
3. 3Mail, email or fax it as the instructions at the bottom of the form say. There is also an online request form; have photo ID ready.

Family members:

To request medical records, you must be the patient, or parent, or legal guardian (proof of guardianship is required).

Cost, as the hospital states it:

Records sent directly to another healthcare provider – no charge. Records delivered to the patient via email or fax – $6.50 plus tax; via mail – $6.50 plus shipping, handling, and tax. Third party: the fee allowable by applicable state.

Time, as the hospital states it:

Average turnaround time is 15 calendar days, however it may take up to 30 days to ship.