Medical Record Request
Phone: 315 464-7832
Hours: Monday-Friday, 8 am–5 pm
The Release of Information Department processes all types of requests for copies of the patient's health information. Physicians and the public can call with requests and questions on how to obtain copies of medical records, or they may come and request copies of their medical records directly.
Request a Copy of Your Medical Record
- Download the Authorization form
- Complete the form and mail it to:
Clinical Data Services–Release of Information Services
1211 University Hospital
750 East Adams Street
Syracuse, NY 13210
If you have problems accessing the form, call 315 464-7832
If you would like to request a copy of your medical record in person, the Release of Patient Information Services is located in room 1115 on the first floor of University Hospital. The office is open from 8 am to 5 pm Monday through Friday.