To request copies of medical
records, please print and complete the Authorization
to Release Protected Health Information
and then mail or fax it to the hospital. Please note that there
is a form for each hospital - please complete the form for the hospital
at which you received services.
Please click on the underlined
link to view a form:
North Hospital: Authorization to Release
Protected Health Information
If you cannot view the form,
please click here
to download Adobe Acrobat Reader.