Release of Information

A patient, or his/her legal representative, may inspect and/or obtain a copy, or have copies of medical records. York Hospital requires a completed and signed written request and authorization for release of health information form before releasing any documents to anyone, including the patient.

To Request a Copy of Your Medical Records:

• Print and complete the Consent for Release of Confidential Health Information.
• The form must be completed, dated and signed. 
• We ask that you specify what components of your medical records you wish to obtain. Often, the discharge summary, operative report and history and physical contain relevant information to suit your needs.
• If you have any questions regarding release of health information, please call (207) 351-2184.
  
• Submit your request once your form is completed:
  Please bring form or mail to:
  Medical Records Office
  York Hospital
  15 Hospital Drive
  York, ME 03909
  Hours: Monday - Friday, 8:00am - 5:00pm

Directions and Parking

Or you may Fax form to: 207-351-2249  Attn: Medical Records