Requesting Medical Records

Patients who would like to request a copy of their medical record may do so by visiting their primary care physician’s office. All requests require a signed Authorization for Disclosure of Personal Health Information form that can downloaded and printed by clicking the link on the right hand side of the page. Please allow at least 10 business days for St. Elizabeth Physicians to process your request.

There is a printing fee of $1.00 for the first 25 pages of your medical record and $.50 per page for each additional page. Cash, check or credit card is accepted. Please make checks payable to St. Elizabeth Physicians. No fee printing is administered for provider requests, but a signed release is still required.