Medical Record Request

Location: Room 1115, first floor of University Hospital
Phone: 315 464-7832
Hours: Monday-Friday, 8 am–5 pm

The Release of Information Department processes all types of requests for copies of the patient's health information. Physicians and the public can call with requests and questions on how to obtain copies of medical records, or they may come and request copies of their medical records directly.

Request a Copy of Your Medical Record

By Mail:

  • Download the Authorization form PDF document
  • Complete the form and mail it to:
    Clinical Data Services–Release of Information Services
    1211 University Hospital
    750 East Adams Street
    Syracuse, NY 13210

If you have problems accessing the form, call 315 464-7832

In Person:

If you would like to request a copy of your medical record in person, the Release of Patient Information Services is located in room 1115 on the first floor of University Hospital. The office is open from 8 am to 5 pm Monday through Friday.

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