Request for Medical Records
Individuals have a right to access, inspect and obtain a copy of their Protected Health Information (PHI) for as long as the designated record set is maintained as deemed by law. All requests should be made through the HIM department.
To request for medical record copies, an Authorization for Release of Medical Information form is required and must be signed by a parent, legal guardian and/or the patient (if the patient is 18 years of age or older). (English) (Español)
**Please note: If you are the legal guardian, please provide appropriate documentation along with the authorization.
Authorization for Release of Medical Information
It takes up to 21 business days for your request to be processed.
Charges (other fees may apply):
- Continuation of care: Free
- Pages 1-4: Free (for patient request)
- Four or more pages: Flat rate of $6.50 (for patient request)
Children’s National Health System has contracted with STAR MED partners in HIM solutions to process our billing copies of medical records. For questions and concerns regarding the billing of copies for medical records, please call 302-235-5757.
To request copies of Radiology images, please contact the Radiology department at 202-476-3426.
To request copies of hospital bills, please contact the Billing department at 301-572-3542.