Please note that different forms are used if you are the patient or if you are a patient representative making the request.
We are currently performing maintenance with our online medical records authorization form. We apologize for the inconvenience.
In the meantime, please submit your request through our patient portal Connect (www.myconnectnyc.org), mail, fax or email.
Access our medical records authorization form under “Forms” below to mail, fax or email your request:
Email: [email protected]
Accessing Medical Records
Under federal and New York State law, patients have a right to access their medical records.
The Hospital will generally honor a patient’s request to furnish information to another party which may include but not be limited to another physician, hospital, or medical facility; to an attorney; to court to an insurance company; and to the patient.
The patient also has a right to receive a copy of their medical record in an electronic form and may also direct the Hospital to provide such copy directly to their personal representative/designee.
As of Feb. 1, 2020 patients who were seen at NewYork-Presbyterian/Columbia University Irving Medical Center, NewYork-Presbyterian Allen Hospital, or NewYork-Presbyterian Ambulatory Care Network can access their medical records through our new patient portal Connect, www.myconnectnyc.org.
Alternatively, patients can complete the authorization form (below) in full and send it to the appropriate address provided on the form.
To request a copy of your medical records from a physician who treated you, contact the physician's office directly.
Patients who wish to request their medical records need to complete the "Authorization to Disclose Protected Health Information/Medical Records” in English, Spanish or Chinese.
Frequently Asked Questions
For disclosures when your medical records contain information for one or more of the following categories the patient or authorized representative is required to indicate this by initialing the appropriate section of the Authorization in addition to completing it in full:
- Alcohol/Drug Treatment
- Mental Health Treatment (except psychotherapy notes)
- HIV/AIDS Related Information
- Genetic Testing Information