
A Member of the University of Maryland Medical System | In Partnership with the University of Maryland School of Medicine
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The information contained in the patient's medical record is confidential. All requests for release of medical records information must be accompanied by an authorization form and signed by the patient. The form must have an original signature.
Click here to download a printable version of the authorization form.
Please mail, fax or deliver in person your authorization release form to:
Mail/Hand Deliver:
University of Maryland Medical Center
Department of Health Information Management
22 South Greene Street
Baltimore, Maryland 21201Fax Numbers:
Monday - Friday
8:00 a.m. - 4:30 p.m.: 410-328-2358 (for emergency patient care only)
All other requesters may fax their requests to 410-328-0537
After normal business hours: Please call 410-328-6750 before faxing a request.
When you receive your invoice please mail or deliver your payment (with the remittance portion of the invoice) to (see fee schedule below):
University of Maryland Medical Center
Department of Health Information Management
22 South Greene Street
Baltimore, Maryland 21201
Please make all checks payable to: University of Maryland Medical Center
You should receive your records within 10 days of receipt of your payment.
If you do not receive your records within 10 days, please call 410-328-5706 and select Option 3 to reach an ROI technician.
If you receive a Customer Service Card with your record please return this prepaid postcard to us with your comments, we strive to provide excellence to all our customers.
Fees:
Patients will be charged for postage and the per page fee allowed by Maryland state law.
Other customers will be subject to postage and per page fees as well as the processing fee allowed by Maryland state law.
Fees for copies must be submitted before medical records will be released.
Payment via mail must be submitted in the form of a check or money order. Credit card payments are not accepted.