Verification of identity is required to be presented with your request. Acceptable forms of identification include driver’s license, employment ID, state issue ID, current school ID, military ID, V.A. ID or a valid, current passport.
This form must be signed and may be submitted in the following ways:
In person
An authorization form may be picked up or dropped off in the Medical Records department Monday through Friday from 8 a.m. to 4:30 p.m. A picture ID is required at the time of the request.
By mail
Send written requests to:
West Chester Hospital
Medical Records
7700 University Drive
West Chester, Ohio 45069
Over the phone
Request an authorization form by calling 298-7750.
Please allow 10 business days to process your request.
At UC Health we believe a patient’s well being is above all else. We realize sometimes questions slip your mind when dealing with one of our healthcare professionals, and now you can search for answers 24 hours a day.
Medical Records
To receive copies of your medical record, please submit a completed authorization form directly to the Medical Records Department.
You can download the West Chester Hospital Authorization for Release of Information here.
Verification of identity is required to be presented with your request. Acceptable forms of identification include driver’s license, employment ID, state issue ID, current school ID, military ID, V.A. ID or a valid, current passport.
This form must be signed and may be submitted in the following ways:
In person
An authorization form may be picked up or dropped off in the Medical Records department Monday through Friday from 8 a.m. to 4:30 p.m. A picture ID is required at the time of the request.
By mail
Send written requests to:
West Chester Hospital
Medical Records
7700 University Drive
West Chester, Ohio 45069
Over the phone
Request an authorization form by calling 298-7750.
Please allow 10 business days to process your request.
Learn more about requesting medical records information from UC Health.