3. Submit signed authorization form and fees if applicable, to Health Information Management by mail or by faxing the signed form to
5. Record delivery options:
How do I request a copy of my medical record?
Complete and sign a copy of Authorization Release of Medical Record form and submit it to Health Information Management by mail, fax or drop off.
Drop off Authorization form at Release of Information customer service window located on 1st floor of Hospital Pavilion North. Do I have to pay for copies? A fee will be charged for records for 5 or more visits or for a copy of complete medical record.:
Please contact (443) 481 – 4123 to verify fees for your request.
How long does it take to receive my records?
It will take at least 10 to 14 business days to process requests. Walk – in request for Abstract record, ED records, and request for individual documents from the record (H&P, Discharge Summary, and Radiology Report) for 5 or fewer visits can be processed same day, usually. Questions about your request, contact Release of Information
What if I believe there is an error in my medical record?
You will need to complete a "Request for Amendment of the Medical Record" form that can be obtained from the Release of Information customer service window, during normal business hours (8am-4:30pm), or you may request to have the form mailed to you. On the form, clearly specify the date of service in question, the change to be made, and the reason for the change. You may mail the form to Health Information Management Department or drop off the form at the Release of Information customer service window (located in Hospital Pavilion South Tower).
Note: In accordance with Maryland law, amendment request are allowed up to 30 days for processing.
How can my spouse get my medical records?
How can my spouse obtain my medical record?
To obtain your medical records, your spouse must have valid authorization – signed by you or your legal representative- specifying that your medical records may be released to him/her.
How do I get a copy of my deceased family member's records?
You will need a Letter of Administration or Will stating you are the executor of estate for the deceased patient. You can obtain a Letter of Administration at the Office of Register of Wills, Circuit Courthouse (see link: http://registers.maryland.gov/main/faq.html#faqtop)
Who should sign a release for a minor?
If the patient is younger than 18 years of age, the parents have rights to their child's medical record.
If the patient is 18 years of age or over, the patient will have to sign for himself/herself, unless a legal guardian has been established by the court. Documentation of authority to sign for the patient must be provided.
Can I request an electronic copy of my records?
Yes. The Authorization for Use and Disclosure of Medical Information form has a section for format and select "electronic" for a copy of your records on CD.
Number of Copies
1 to 10 pages
10 and above pages
$.76 per page