ACCESSING HEALTH INFORMATION
You have a right to request your health information related to care you received at any of our facilities under Federal and New York State law. In addition, NYC Health + Hospitals will generally honor a patient’s request to furnish information to another party, such as: a physician, hospital, medical facility, attorney, court, or an insurance company, with a written authorization from you or your authorized representative.
Don’t have a MyChart Account? Click here to create one.
Requesting your record through MyChart is fast and easy, no ID needed and your records will be delivered quickly directly into your MyChart.
SUBMIT A HEALTH INFORMATION REQUEST ONLINE
PLEASE NOTE: In order to submit a health information request online, you will need to upload your photo and a government-issued photo ID. Please see Unique Circumstances for additional requirements.
For sensitive information such as alcohol/drug treatment, mental health treatment, HIV/AIDS or genetic testing information, be sure to fill out the application completely.
Requestors from countries outside the US whose addresses and phone numbers can’t fit on the form, please call Verisma’s customer service at 866-390-7404 Mon-Fri 8:00 am – 4:00 pm EDT to submit your requests
I am the Patient
I am a Patient Representative
I am an Attorney
Please note: subpoenas are not accepted with this method.
SUBMIT A HEALTH INFORMATION REQUEST VIA MAIL
Please click here to access the form, fill and print and mail it to the appropriate facility.
FAQ
Patients or their representatives should complete and submit an Authorization to Release Protected Health Information (PHI) using this link.
This is the preferred method. Note: You will need 2 forms of photo ID scanned and sent to complete the online authorization.
You will receive the information electronically in an encrypted secure email that you will provide on your online application and validate at request submission.
Yes, if you are unable to scan and send picture identification, you can print the paper form, complete it and send it to the appropriate facility. You will need to be sure to legibly complete each field on the form.
The form is available on the NYC Health + Hospitals website here
All addresses and contact #’s for individual facilities are listed on the website.
You will receive the information electronically in an encrypted secure email that you will provide on your application and validate at request submission.
If the patient is a minor under twelve (12), the parent or legal guardian may request (sign for) the health information.
If the patient is a minor twelve (12) years of age and under eighteen (18), the request must be made (signed) by:
The parents or legally appointed guardian
If the patient is an emancipated minor (married, a parent, or self-supporting and living apart from the parent’s residence) he/she must sign
For non-behavioral health health information requests both a parent or legally appointed guardian and minor must sign
For behavioral health requests including Patient Access the minor must sign
If the minor can consent to treatment, the minor can sign the request
The executor of the estate or distributee must complete the online form and upload a copy of the official death certificate and proof of their status as executor as supporting information.
Follow the same process to request radiology films and Health Information Management will work with the Radiology Department to secure access
Yes. For NYC Health + Hospitals Hospital records, you may call 866-390-7404. This service is available Monday through Friday from 8am to 4 pm EST.
