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Fax (secure) You can fax your request, a copy of an official photo ID, and completed authorization form to (907) 458-5454.
Request a Copy of Your Medical Record To submit your request by mail, fax, email or in person: You may download the medical record request form in English or Spanish. Complete, sign and fax the form to 847-984-5619 or email to Medical Records. Bring your request to Medical Records at the location listed above.
For access to a deceased patients medical records Authorized Relative Certification: Submit a copy of the medical records request form and a copy of the death certificate with this form. Please complete the form in its entirety, and sign and date.
Certain information can take up to 30 days for processing. For Release of Information questions, please call Customer Service at 617-726-2361. For Audit-related questions, please call 857-282-8730 or fax 617-726-3025.
You may request copies of your medical record between 8 a.m. and 4:30 p.m., Monday through Friday, by calling 219-703-1200.
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People also ask

You may request the form from your nurse, download the Authorization to Release Patient Health Information form from our website, or contact the medical records department directly at 303-602‐8000.
How to Obtain Your Medical Record 2 standard ways to receive your medical records: Continuation of Care: your provider requests your records by faxing a request to 719-486-7167. Personal Use: you want your medical records for personal use. St. Vincent Health Medical Records. 719-486-7131.

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