Request a Copy of Your Medical Records

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.

Corewell Health in Southeast Michigan

Corewell Health Beaumont Grosse Pointe Hospital

Corewell Health Beaumont Troy Hospital

Corewell Health Dearborn Hospital

Corewell Health Farmington Hills Hospital

Corewell Health Taylor Hospital

Corewell Health Trenton Hospital

Corewell Health Wayne Hospital

Corewell Health William Beaumont University Hospital

Corewell Health in Southwest Michigan

Corewell Health Lakeland Hospitals – St. Joseph Hospital

Corewell Health Lakeland Hospitals – Niles Hospital

Corewell Health Watervliet Hospital

Corewell Health in West Michigan

Corewell Health Big Rapids Hospital

Corewell Health Gerber Hospital

Corewell Health Grand Rapids Hospitals – Butterworth Hospital; Blodgett Hospital; Helen DeVos Children’s Hospital; Meijer Heart Center

Corewell Health Greenville Hospital

Corwell Health Ludington Hospital

Corewell Health Pennock Hospital

Corewell Health Reed City Hospital

Corewell Health Zeeland Hospital