Medical Record Request
Phone: 315 464-7832
Hours: Monday-Friday, 8 am–4:30 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
- Download the Authorization form
- Complete the form and mail it to:
Health Information Management/
Clinical Data Services–Release of Information Services
Upstate Medical University
Room 1500 Hospital
750 East Adams Street
Syracuse, NY 13210
HIM/Release of Information Services
Upstate Medical University at Community Campus
4900 Broad Road
Syracuse, NY 13215
- or Fax to: 315-464-9555
- or Email to: firstname.lastname@example.org
If you have problems accessing the form, call 315 464-7832 (downtown) or 315 492-5565 (community)
If you would like to request a copy of your medical record in person, the Release of Patient Information Services is located in room 1500 on the first floor of University Hospital. The office is open from 8 am to 4:30 pm Monday through Friday.
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