Patient Resources Medical Records

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
  
  Fax: 717-812-8119
  
  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.