Patients may request a copy of their medical records by completing and submitting an Authorization for Release of Personal Health Information form.
Please download and complete the authorization form to submit your medical record request by fax, email or mail.
Verification of identity may be required. Acceptable forms of identification include driver’s license, employment ID, state-issued ID, current school ID, military ID, VA. ID or a valid, current passport.
If you are requesting your medical record by email or fax, please use the corresponding email or fax for the specific site where you received care:
UC Medical Center
Daniel Drake Center for Post-Acute Care
West Chester Hospital
The Medical Records Department’s hours of operation are Monday – Friday, 8 a.m. – 4 p.m. The department is closed on weekends and major holidays.
Please allow 7-10 business days to process your request. If the requested information is located off-site or if the authorization form is not properly filled out, additional time may be required to process your request.
If this is an urgent request, please contact the Medical Records Department where you received your care.
- Authorization for Release of Health Information
- To obtain a birth or death record, visit Ohio Department of Health Vital Statistics
- Ambulatory/Outpatient Financial Agreement, Consent to Treat and Authorization For Release of Information
If you are requesting copies for someone other than yourself, you will need to provide legal documentation that verifies legal guardianship, power of attorney, executorships or next-of-kin relationship to a decedent.
Parents may request copies of their minor child’s records if they have legal custody of the child and the child is not legally emancipated.
UC Health’s Medical Records Department does not possess access to medical imaging films or billing information. Please contact those respective departments to obtain those records.
Frequently Asked Questions
For additional information, please refer to Frequently Asked Questions.
Amendment to Medical Record Requests
You have the right to request an amendment to your medical record if you believe it is incorrect or incomplete. Please submit a completed Amendment Request Form to FAX-Amendment@retrotechselect.com or fax the request to 513-584-5191. You may also send your request via mail to the appropriate UC Health location address listed on this page. Please allow up to 60 days for processing.