Medical Records Request

Obtain Copies of Your Records

Monday – Thursday 8:00 am –5:00 pm (excluding holidays)

All Active Patients Have Access To Their Records Through Our Patient Portal.

For More Information on How to Access Records Through The Patient Portal Please Call (410)200-9016

MD Statute allows up to 21 days to process requests for copies of medical records.

We prioritize record copy requests that are related to direct patient care.

All records requests are completed in the order they are received.

If your records are needed for a healthcare related appointment, please provide the appointment date.

We are not able to fulfill requests when the request form is incomplete. Incomplete request forms will be returned.

If you are picking up a copy of your record, photo ID will be Required and requested. Please note that only the patient or patient legal representative may pick up a copy of the record, unless otherwise indicated in writing by the patient or patient representative.

For Requests from Persons Other than the Patient

To obtain a copy of medical records for someone other than yourself, download the applicable form:

Have the form completed in its entirety by the patient or legal patient representative clearly stating the dates of service, the specific type of record(s) desired and all other information indicated on the form. These forms may also be obtained in the office or you may request for the form(s) to be mailed or faxed to you. Mail, fax, or drop off the completed form to the applicable address/fax number listed below:

PO Box 123

Easton, MD 21601

Fax: (410) 443-0842

Medical Records Request Form