For Patients

Obtaining Medical Records

Maryland Law specifies that a request for any patient medical record must be in writing and must become a part of the person's medical record. The medical records department protects the confidentiality of all patient information and will only release a patient's medical record with the proper consent.

If a physician involved in your care needs a copy of your medical record, the medical records department can forward a copy to that physician with your consent. For purposes other than treatment, requests for copies of records are handled on a case by case basis utilizing state and federal guidelines for the proper release of patient information.

Release of Medical Records

To request the release of medical records, either for a patient’s own use or for transfer to another healthcare provider, the patient (or their legal representative) must provide authorization by submitting a signed copy of the Authorization to Release Medical Information Form.

To request a copy of an X-ray (diagnostic study), patient must provide authorization by submitting a signed copy of the Authorization to Release Diagnostic Images Form. To get directions on how to complete the form, please Click HERE.

Email requests cannot be accepted. A fax copy of the authorization form can be accepted. Photo ID of the patient or legal representative must be presented at the time of pick-up.

Send the request to the appropriate addresses below:

  • Health Information Management
    Frederick Health
    400 West Seventh Street
    Frederick, MD 21701
    Phone: 240-566-3444
    Fax: 240-566-3634
    Hours of operation: Monday-Friday 8am-4:30pm (Excluding Holidays)
  • Radiology Department
    Frederick Health
    400 West Seventh Street
    Frederick, MD 21701
    Phone: 240-566-3420
    Fax: 240-566-3255

Special Requests

Subpoenas

Subpoenas for patient medical records must include the name of the patient, the date of birth, and the dates of service. All subpoenas must fully comply with federal and Maryland laws concerning the disclosure of personal information. Please note Frederick Memorial Hospital, Inc. formally changed its name in September of 2019 to Frederick Health Hospital, Inc. The subpoena should be served on the Custodian of Records and addressed as follows:

For Billing Records:

Custodian of Billing Records
Frederick Health Hospital, Inc. [or other provider entity]
400 West Seventh Street
Frederick, MD 21701

For Medical Records:

Custodian of Medical Records
Frederick Health Hospital, Inc. [or other provider entity]
400 West Seventh Street
Frederick, MD 21701