Please print, complete, and hand sign this authorization form, then send it to the requested location listed below. You can also find birth certificate and death certificate information under each hospital location.
Requesting medical records for a deceased patient: Contact the medical records department at the appropriate location. You may be asked to provide additional documents to obtain a copy of the records. If you had proxy access, are a family member, or were a legal guardian of someone who has passed away, you can request MyChart proxy access to view their medical records for up to six months after their passing.