If you would like to obtain a copy of your or your family member's medical records, you can:
- Request medical records online (For patients only: Click here)
- Print the Authorization to Use and Disclose Health Information form and mail or fax to HIMS Department
Summit Health, PA
Attn: HIMS Department
150 Floral Ave
New Providence, NJ 07974
If you would like to request the release of anatomic pathology materials, you can:
- Print the Authorization for Release of Pathology Slides, Blocks, and/or Reports and mail or fax it to the Pathology Department:
Bensley Pavilion – Ground Fl.
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Business hours are Monday-Friday 8:00 a.m. – 4:30 p.m.
Phone: (914) 682-6416 | Fax: (914) 682-6415
Request medical records online (click here)
- Patients may request their own medical records, request that their own medical records be sent to someone else, or request medical records on behalf of a minor using this electronic form.
Print and sign the Authorization for the Release of Medical Information form. Please see this example of the medical information form if you need guidance on how to complete the document. Mail or fax the completed form to:
- Emailed to firstname.lastname@example.org
- Faxed to 914-682-6415
- Mailed to: P.O. Box 431 (Attn: Health Information Dept), Port Chester, New York 10573
If you would like to request pathology materials, please contact the Pathology Department directly at:
210 Westchester Avenue, White Plains, NY 10604 (3rd floor behind Eye Care)
Hours of operation are Monday through Friday from 8:00 a.m. to 5:00 p.m.
Summit Health Frequently Asked Questions
The form must be completely filled out and signed in order to process the request. Include dates of service, physician, specialty, and type of information for example: Consultation, Operative reports, Pathology, Labs, etc. If no dates are specified, the last year of information will be provided.
Did you know: By specifying exactly what you need or by selecting Medical Record Abstract, your request may be processed much quicker!
Yes, for reasons other than continuing patient care. Both HIPAA and state rules determine the applicable fee for medical records. If there is a fee to process your request, the invoice will be mailed to the address listed on the release form. Payments can be made by credit card or check. Please make checks payable to: Ciox Health.
Medical records are mailed, not faxed, no later than 30 days from the date that the signed request was received. Medical records may also be picked up at the HIMS department (Photo identification is required at pick up). For urgent requests, please call 908-219-6359.
Yes, medical records may be picked up in person. To arrange, please call 908-219-6359. Please note, photo identification will be required. Our hours of operation are Monday through Friday 8:30am- 5:00pm (EST).
Please contact the Medical Records Request Line 908-790-6520.
Westmed Frequently Asked Questions
Yes, you can have a consolidated summary of your health record sent to you instantly via email when you visit the “My Health > Health Records” section of the new My Westmed portal. To access this copy of your medical records, login to your portal from a web browser from a desktop, and click “My Health”. You’ll navigate to “Health Records” and select Outpatient Visit Documentation you are hoping to export – information such as medications list, allergies and immunizations will be included in this data. You can specify a date range, or access this information from your “all time” record. If you have technical questions regarding the portal, please contact technical support at 914-607-4717 or email@example.com.
No. We are unable to fax records because we want to ensure the confidentiality of your medical information. However, we do offer encrypted email (file size limitations do apply) as an option. Just include the email address on the authorization form. Please click here for a tip sheet on how to open an encrypted email.
You will need to fill out an authorization form, and your record will be sent to the physician.
All requests are worked in the order received. Processing may take up to 10 days from the date a valid authorization is received, however this is not typical.
- Yes, there is a charge of $0.07 per page up to $100.00 for paper delivery.
- $6.50 flat fee for electronic records request.
- Patient are invoiced upon delivery of records; mailing address and payment options will be on the invoice.