request medical records from St. Anthony Community Hospital

Medical Records Request Form (Microsoft Word)

The Medical Records Department is responsible for the organization, storage and retrieval of all patient medical records.

If you require records, please call our correspondence secretary at 845.987.5193, Monday through Friday from 8 a.m to 4 p.m. You will be required to sign an authorization before records will be released. In some cases, identification is required. If the records are for your own use, there is a charge of $0.75 per page.

When requesting medical records, it is helpful if you have the following information when you call or visit the Medical Records Department:

  • Name of patient
  • Address of patient
  • Phone nNumber
  • Date of birth
  • Date(s) of service
  • Where service performed (what hospital department)
  • Reason for copies
  • When copies are needed
  • Where copies are to be sent
  • The Medical Records Department is located on the basement level of the hospital

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Bon Secours International| Sisters of Bon Secours USA| Bon Secours Health System