What do I need in order to get my medical records?

To request a copy of your medical records, please print and complete the following form:

Submit your completed form to the location where you received care to obtain the records desired.

Outpatient record requests must be submitted to the specific department in which the service was received.

  • Radiology films and reports can be obtained from the Film Library for that particular hospital.

Inpatient record requests should be sent to the hospital the patient attended. In some instances there may be a cost involved.

The hospital contact information is:

  • Hospital of the University of Pennsylvania
    Medical Records Department
    1st Floor Founders
    3400 Spruce Street, Philadelphia, PA 19104
    Fax: 215-662-6300
  • Penn Presbyterian Medical Center
    Medical Records Department
    Myrin Basement
    39th and Market Streets, Philadelphia, PA 19104
    Fax: 215-243-8758
  • Pennsylvania Hospital
    Medical Records Department
    2 Cathcart Bldg.
    800 Spruce Street, Philadelphia, PA 19107
    Fax: 215-829-3027
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