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Online. Use an online medical record request form to submit your request electronically. Be prepared to upload a copy of your photo ID. If you are requesting on behalf of the patient, you may be asked to upload supporting documentation in addition to your photo ID.
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In 1995, Marymount became the first community hospital to become a member of Cleveland Clinic health system. With the outstanding clinical, research and educational abilities of Cleveland Clinic, Marymount maintains a strong commitment to the communities we serve.
Marymount Hospital is a 269-registered bed acute care hospital, serving communities in southern and southeastern Cuyahoga County.
Centrally located on Far Hills Avenue, Cleveland Clinic Imaging is the only outpatient facility in the Dayton metropolitan area with a 3 Tesla MRI unit, which provides the highest levels of image quality available.
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To retrieve a copy of your radiology images, submit this request form and a CD will be sent by UPS to your home address. You may also pick up the CD from our main campus location. Please allow at least 48 hours notice for all radiology image requests conducted at Cleveland Clinics main campus or family health centers.
Request medical records to be released to MyChart via MyChart Log in to MyChart. Click the Menu button. Click My Document Center. Select MyRecords. Under Past Documents use the click here link to complete and electronically submit a request for records to be released to your MyChart account.
After the form is completed, signed and dated, submit to us one of the following ways: Email: roiwestonfl@ccf.org. Fax: 954.689.5519. Mailing address: Cleveland Clinic Health Information Department. 3100 Weston Road. Weston, FL 33331.

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