Medical Record Request

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
• 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
  
    -or-
  
  HIM/Release of Information Services
  Upstate Medical University at Community Campus
  4900 Broad Road
  Room 1372
  Syracuse, NY 13215
  
  
• or Fax to:  315-464-9555
• or Email to:  [email protected]

If you have problems accessing the form, call 315 464-7832 (downtown) or 315 492-5565 (community)

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 1500 on the first floor of University Hospital. The office is open from 8 am to 4:30 pm Monday through Friday.

View your MyChart

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