Medical Records

Patients: 

You can request a copy of your medical record by completing an authorization form.

DOWNLOAD AUTHORIZATION FORM

Spanish language version:

DOWNLOAD SPANISH FORM

Or, you can pick up an authorization in the Medical Records department, Mon. - Fri., 8:30 am - 4:30 pm.

During non-business hours, copies of the authorization and instructions can be found on the wall outside Medical Records of Anderson, Clermont and Jewish hospitals. A picture I.D. is required at the time of the request.

All other requestors: 

Request a copy of a medical record by completing an authorization form.

DOWNLOAD AUTHORIZATION FORM

 

Mail

Send your request to:

Anderson Hospital

Attn: Medical Records ROI
7500 State Road
Cincinnati, Ohio 45255

Clermont Hospital

Attn: Medical Records ROI
3000 Hospital Road
Batavia, Ohio 45103

Fairfield Hospital

Attn: Medical Records ROI
3000 Mack Road
Fairfield, Ohio 45014

The Jewish Hospital - Mercy Health

Attn: Medical Records ROI
4777 E. Galbraith Road
Cincinnati, Ohio 45236

West Hospital

Attn: Medical Records ROI
3300 Mercy Health Blvd.
Cincinnati, Ohio 45211

Telephone

We're happy to mail you an authorization form. Please call the number of your hospital listed below.

Anderson Hospital: 513-732-8388
Clermont Hospital: 513-732-8731
Fairfield Hospital: 513-682-7259
The Jewish Hospital: 513-686-5029
West Hospital: 513-215-0735
Western Hills Medical Center: 513-215-0735

When will I receive a copy of my medical record?

Please allow 30 business days for us to process your request. In some cases, the information you need may be stored at one of our offsite storage locations so additional time may be required to process your request. Please be sure to fill out the authorization form accurately. Inaccurate information on the form may cause delays in providing you with the information you requested.

If your request requires a fee, you will be notified of the fee before the record is sent.