Request Medical Records
It is the obligation of Montefiore Einstein Advanced Care to protect the confidentiality of a patient’s medical record. Any information contained in the medical record is confidential and protected by federal and state law.
Medical records requests are generally granted to the patient, an authorized patient representative or another party, which may include, but is not limited to, another physician, medical facility, attorney, court or insurance company.
What to Know
You can request copies of your medical records as well as radiological and diagnostic images such as X-rays directly in your provider’s office, by mail or in person. Requests for medical records can be made by you, an authorized representative or approved parties, including:
- Physicians or medical facilities
- Attorneys or courts
- Insurance companies
Patients who see primary care and specialist providers can email their doctor, check on lab results, request a medication refill, access information to manage their health and create their own personal health record to access at any time 24/7 through Montefiore MyChart, a secure online patient portal.
Medical records, along with radiological and diagnostic images, can be requested in person through your provider’s office or by visiting the Health Information Management (HIM) locations at any of our hospitals. Please note that you or your authorized representative must present a valid form of identification.
Note: If a person other than the patient is picking up the records, that person’s name must be indicated in the authorization form and they must present an identification at the time of pickup.
To request your medical records or radiological/diagnostic images by mail, complete the authorization for release of health information form pursuant to the Health Insurance Portability and Accountability Act (HIPAA) below:
When filling out your form, please be sure to provide the following information:
- Patient information
- Name and address of the facility releasing the record
- Name and address where the information will be sent
- Dates when care was received (a single day or a range of dates and years)
- Information you are requesting (a record in its entirety or portions of it)
- Reason for release
- Date the release expires
- Signature and date
When medical records contain information about one or more of the following categories, complete the form in full and initialize the corresponding section:
- Alcohol or drug treatment
- Mental health treatment (except psychotherapy notes)
- Information related to human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)
Mail the completed form to:
Montefiore Einstein
Attention: Health Information Management Department
111 East 210th Street
Bronx, NY 10467
Special circumstances may require additional supporting documents for the release of information. For questions, please contact 718-920-4921.
Healthcare providers can request medical records during office hours by faxing a request on letterhead to 914-349-8229. Please include:
- Patient’s name
- Patient’s date of birth
- Date of service you are requesting
- Portion of the medical record you are requesting
- Reason for request
- Date by which you need the records
Applicable Fees & Delivery Expectations
A fee of $0.75 per page may be charged for paper records or $6.50 for digital copies of records provided on a disc. There is no charge for records sent directly to another healthcare provider or medical facility. In accordance with New York State law, requests are processed within ten days after the authorization is received.
Request Copies of Records from Montefiore Einstein Advanced Care
If you would like a copy of your medical records, please call 914-418-6243 or send an email to MEACmedicalrecords@montefiore.org.
