How to Request Mercy Health Medical Records

Option 1: You can request your medical records though MyChart

There are three easy ways to sign up for MyChart:

Register online - You may have been given a 10-digit activation code at your last doctor's appointment. If so, click here to register online. No need to worry if you don't have an activation code. You can still register for MyChart by providing a little bit of information about yourself. Click here to register without an activation code.

Register at your provider's office - It's quick and easy to set up an account at your health care provider’s office during your next appointment.

Register by phone - Prefer to register for my chart by phone? Simply call the Mercy Health MyChart help desk at 1-844-552-4278.

Sign up for MyChart

Existing MyChart users

Already have a MyChart account? Simply click below to instantly access your medical information:

Log in to MyChart

Option 2: Medical records release forms

Thank you for choosing a Mercy Health facility to receive your medical care. If you find that you need access to or a copy of your medical records, please complete the appropriate form found below with the site you received your care.  Return the completed form with a copy of your photo ID to the Mercy Health facility email address, fax number or mailing address provided below. If you have any questions, please feel free to call the facility at the number provided below. If you have any questions, please feel free to call the facility at the number provided below.

Records are kept off-site so please allow time for processing.

Medical Record Release Forms

Find the region in which you received care in the list below, then download, complete and return the release form.

Cincinnati, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form

Send your request forms to:

Anderson Hospital
Health Information Management – ROI
7500 State Road
Cincinnati, Ohio 45255
Phone: 513-624-4670
Fax: 513-599-4479 
Email: ROI_Cincinnati_Springfield@mercy.com

Clermont Hospital
Health Information Management – ROI
3000 Hospital Road
Batavia, Ohio 45103
Phone: 513-732-8289
Fax: 513-599-4479 
Email: ROI_Cincinnati_Springfield@mercy.com

Fairfield Hospital
Health Information Management – ROI
3000 Mack Road
Fairfield, Ohio 45014
Phone: 513-870-7104
Fax: 513-599-4491 
Email: ROI_Cincinnati_Springfield@mercy.com

The Jewish Hospital - Mercy Health
Health Information Management – ROI
4777 E. Galbraith Road
Cincinnati, Ohio 45236
Phone: 513-686-5029
Fax: 513-599-4493
Email: ROI_Cincinnati_Springfield@mercy.com

West Hospital
Health Information Management – ROI
3300 Mercy Health Blvd.
Cincinnati, Ohio 45211
Phone: 513-215-0735
Fax: 513-599-4728
Email: ROI_Cincinnati_Springfield@mercy.com

Irvine, Kentucky Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form 

Send your request forms to:

Marcum and Wallace Memorial Hospital
Health Information Management – ROI
60 Mercy Court
Irvine, KY 40336
Phone: 606-726-2157
Fax: 606-618-9582 
Email: HIM_ROI_Kentucky@mercy.com  

Lima, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form 

Send your request forms to:

Mercy Health - St. Rita's Medical Center
Health Information Management – ROI
730 W. Market St.
Lima, OH 45801
Phone: 419-226-9328
Fax: 567-202-9031
Email: HIM_ROI_Lima@mercy.com  

Lorain, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form

Send your request forms to:

Mercy Health — Lorain Hospital and HealthSpan
Health Information Management – ROI
3700 Kolbe Rd
Lorain, OH 44053
Phone: 440-960-3320
Fax: 567-202-9029 
Email: OHMedCorresp@mercy.com

Mercy Health — Allen Hospital
Health Information Management – ROI
200 W Lorain St
Oberlin, OH 44074
Phone: 440-775-4072
Fax: 567-202-9029 
Email: OHMedCorresp@mercy.com

Paducah, Kentucky Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form 

Send your request forms to:

Lourdes Hospital
Health Information Management – ROI
1530 Lone Oak Road
Paducah, KY 42003
Phone: 270-444-2135
Fax: 270-715-1539 
Email: HIM_ROI_Kentucky@mercy.com  

Springfield, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form

Send your request forms to:

Springfield Regional Medical Center and Mercy Health — Urbana Hospital
Health Information Management – ROI
100 Medical Center Drive
Springfield, Ohio 45504
Phone: 937-523-5590
Fax: 513-599-4503 
Email: ROI_Cincinnati_Springfield@mercy.com

Toledo, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form

 

For St. Anne, St. Charles, St.Vincent and Defiance Hospital 

Send your request forms to:

Health Information Management – ROI
947 S. Wheeling
Oregon, OH 43616
Phone: 419-696-5601
Fax: 567-202-9034 
Email: HIM-ROI-Toledo@mercy.com

For Tiffin Hospital

Send your request forms to:

Health Information Management – ROI
45 St. Lawrence Dr.
Tiffin, OH 44883
Phone: 419-455-7250 
Fax: 567-202-9032
Email: HIM-ROI-Toledo@mercy.com

For Willard Hospital

Send your request forms to:

Health Information Management – ROI
1100 Neal Zick Rd.
Willard, OH 44890
Phone: 419-964-5050
Fax: 567-202-9032
Email: HIM-ROI-Toledo@mercy.com

Youngstown, Ohio Hospitals and Physician Offices

You can request a copy of your medical records, or the medical records of someone you have legal representation over in addition to authorizing records to be sent to another party by completing the form below:

English Form

Spanish Form

Send your request forms to:

Mercy Health - St. Elizabeth Youngstown Hospital
Health Information Management – ROI
1044 Belmont Ave.
Youngstown, OH 44501
Phone: 330-480-2710
Fax: 330-752-0990
Email: Youngstown_ROI_requests@mercy.com

Mercy Health - St. Elizabeth Boardman Hospital
Health Information Management – ROI
8401 Market St.
Youngstown, OH 44512
Phone: 330-729-1926
Fax: 330-752-0990
Email: Youngstown_ROI_requests@mercy.com

Mercy Health - St. Joseph Warren Hospital
Health Information Management – ROI
667 Eastland Ave.
Warren, OH 44484
Phone: 330-841-4063
Fax: 330-752-0990
Email: Youngstown_ROI_requests@mercy.com

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.

Fees

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