If you would like to request copies of your medical records, please complete the required authorization form by clicking the link HERE.
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If you need copies of your medical records, please download and complete the Authorization for Release of Information Form. (Download PDF »)
For Attorneys or Law Firms, please complete the OCA Form 960.
For Request relating to Reproductive Healthcare:
The HIPAA Privacy Rule requires regulated healthcare providers, health plans, clearinghouses, and business associates (BAs) to obtain signed attestations from individuals requesting PHI related to reproductive healthcare stating that the information will not be used against a provider or patient in legal cases related to the provision of reproductive healthcare. For requests from Judicial/Administrative Proceedings (i.e.. subpoenas, court orders, etc.), Health Oversight Agencies, Law Enforcement, and Coroners/Medical Examiners, that potentially contains reproductive health care information a signed attestation is necessary to process the request.
Once completed, please mail to:
ECMC Hospital
Health Information Management & Medical Correspondence
462 Grider Street
Buffalo, NY 14215
T: (716) 898-3257 *For medical requests only
If you have any further questions about your medical records, or any general questions about ECMC, complete and submit the contact form found here.
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Erie County Medical Center Corporation (ECMCC) is not responsible for the content, privacy policy, accuracy or legality of any website accessed through a link on www.ecmc.edu. A link to another website does not constitute an endorsement, guarantee or approval by ECMCC of the linked website, or the information, products or services contained therein.