To get copies of your medical records, or to have information about your health sent to someone other than you or your doctor, you'll need to fill out an authorization form (below). If you need your records to be sent to a health care provider, you can either fill out this form, or contact them and ask them to request your records for you.
Sometimes there's a fee for medical record copies. If you've questions about fees, how long it will take to get copies, or other concerns, call your facility.
Legally, Aurora Health Care can't answer questions about your medical records over email or online. And if you need records from more than one building or department, you need to send a request for each one, because each site maintains its own records.
Please don't leave anything blank on a form, as it can't be processed that way. That may mean delays for you.
Forms for download:
What you'll need to fill out in each section:
Check as many boxes as you need to cover what you're looking for. If you're requesting all the records for a certain episode, let us know which condition or treatment that is. If you need any help with this at all, please call the Health Information/Medical Record Department at your facility.Not sure which documents are which? These lists may help:
Examples of hospital documents:
Examples of clinic documents:
Examples of home health documents:
Examples of test results:
If you don't want your mental health records, alcohol/drug abuse records or any HIV test results to be released (if you have these in your records), please note that here.
If you're the patient, sign here. If you're the legal representative of the patient, you'll need to sign and also fill in:
If you're mailing the form in, please address it to Medical Record Department – Release of Information. If you need to call to ask a question, ask for the Medical Record Department – Release of Information.