Requests for Medical Records

The Health Insurance Portability and Accountability Act (HIPAA) give individuals the right of access to inspect and obtain a copy of protected health information.  The Health Information Management Department (Medical Records) will process all request to inspect individually identifiable health information and provide copies for all request to obtain copies of individually identifiable protected health information.  Any exceptions to the request will be forwarded to the Privacy Officer for review and determination.

Fill and submit the following form when you would like to request access to inspect and obtain a copy of your health information that is maintained at the SRMC.