Request Medical Records

Accessing Your Patient Medical Records

Are you looking for copies of your medical records or test results? Carondelet Health Network is happy to help you obtain your medical records from our locations.

You can access your inpatient medical information online through our patient portal.

Process for Obtaining Records

To obtain your records, you or a representative must complete an “Authorization for Disclosure of Protected Health Information” form. You can find these forms by asking your nurse, the concierge desk or at a Health Information Department (HIM) listed below.

Click here to download the "Authorization for Disclosure of Protected Health Information" in Spanish.

Your completed and signed form can be submitted in person, faxed or scanned and mailed to the HIM Department. Unfortunately, we cannot accept an email without the scanned document showing your signature and date.

You also have the option of faxing or mailing a signed and dated letter to the HIM Department requesting your records instead of completing the request form. In this request letter, you must state the:

Patient name
Birth date
When care was received
What records you’re requesting
The purpose of requesting the records
Permission to release any information, including (if any) information about drug/alcohol/behavioral health or HIV
Address where the records should be sent

If you’re requesting records and are not the patient, the letter must state your relationship to the patient, such as “patient’s parent.” If you are not the patient and/or the patient is not a minor, you must include a power of attorney.Records Needed for Care

If your records need to be sent to your doctor for follow-up care, you can include the doctor’s name and contact information on your authorization form. If your doctor needs copies of your medical records right away, ask his or her office to call our HIM Department for copies.

Records for Personal Use

If your medical record copies are for personal use, there may be a charge for photocopying a large number of records. If there is a charge, we will contact you with an estimated cost of completing your request for your medical records.