Requesting Copies of Medical Records
- To request a copy of your medical records, download the “Authorization to Use or Disclose Health Information” form available in English (link) or Spanish (link).
- Print the form and fill out completely. Please be sure to sign and date to avoid delays in processing your request. If you are the health care agent, court-appointed guardian, holder of a medical power of attorney or other legally appointed representative, please attach proof of your authority to act on the patient’s behalf.
To return the completed authorization form:
- Take the form to the WellSpan Philhaven location in which you are receiving services
- Mail, fax or deliver in person to:
Release of Information
912 S. George Street
York, PA 17403-3700
Release of Information can be reached at (717) 851-6396 during normal business hours, Monday through Friday 8:00 AM–4:30 PM. Closed on major holidays.