You have a right to request your health information related to care you received at any of our hospitals under Federal and New York State law. In addition, NYC Health + Hospitals will generally honor a patient’s request to furnish information to another party, which may include but not be limited to a physician, hospital, or medical facility; to an attorney; to court, and to an insurance company, with a written authorization from you or your authorized representative.
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PLEASE NOTE: In order to submit a health information request online, you will need to upload your photo and a government-issued photo ID. Please see Unique Circumstances for additional requirements.
For sensitive information such as alcohol/drug treatment, mental health treatment, HIV/AIDS or genetic testing information, be sure to fill the application completely.
I am an Attorney
Please note: subpoenas are not accepted with this method.
Please click here to access the form, fill and print and mail it to the appropriate facility.
Patients or their representatives should complete and submit an Authorization to Release Protected Health Information (PHI) using this link.
This is the preferred method. Note: You will need 2 forms of picture identification scanned and sent to complete the online authorization.
You will receive the information electronically in an encrypted secure email that you will provide on your online application and validate at request submission.
Yes, if you are unable to scan and send picture identification, you can print the paper form, complete it and send it to the appropriate facility. You will need to be sure to legibly complete each field on the form.
The form is available on the NYC Health + Hospitals website here
On the Health + Hospitals website is a listing of all addresses and contact numbers to call regarding copies of health information from each location of Health + Hospitals.
You will receive the information electronically in an encrypted secure email that you will provide on your application and validate at request submission.
If the patient is a minor under twelve (12), the parent or legal guardian may request (sign for) the health information.
If the patient is a minor twelve (12) years of age and under eighteen (18), the request must be made (signed) by:
The executor of the estate or distributee must complete the online form and upload a copy of the official death certificate and proof of their status as executor as supporting information.
Follow the same process to request radiology films and Health Information Management will work with Radiology Department to secure access.
Yes. For NYC Health + Hospitals Hospital records, you may call 866-390-7404. This number is available Monday through Friday from 8am to 4 pm EST.