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Request Medical Records

Montefiore Einstein is committed to protecting the confidentiality of your medical records. Patient health information is strictly protected by federal and state laws.

Medical records can be requested by patients, authorized patient representatives, or legally permitted third parties (such as physicians, attorneys, courts, or insurance companies).

What to Know

Access Records Instantly via MyChart

If you are an existing patient looking for everyday health information, you may not need to submit a formal records request. You can view your records 24/7 through Montefiore MyChart, our secure online patient portal.

Through MyChart, you can:
•    View lab and diagnostic results.
•    Message your primary care or specialist doctors.
•    Request medication refills.
•    Manage your personal health history.

Learn more about Montefiore MyChart.

Request Medical Records Online

Montefiore Medical Center has online tools that allow patients, authorized representatives, and third parties to submit digital requests in a secure manner.

Recommended Browsers: Chrome, Safari and Firefox. 
 

Use this tool if you are a patient requesting your own records, a parent requesting a minor child's records, or a caregiver with legal Power of Attorney.

  • Note: The system will verify your identity by asking you to take a photo of your driver's license or ID using your smartphone or webcam. There is no fee for this service.

Click here to request records Patient Release of Information

Use this tool for continuity of care. 

  • Note: This tool is strictly for healthcare providers. You must use a HIPAA-compliant organizational email address to log in.

Click here to request records Provider Continuity of Care

Use this tool if you are an attorney, an insurance company representative, or working for a record retrieval firm.

Click here to request records ChartSwap

Requesting Medical Records by Mail

If you prefer not to use our online system, you can submit a physical request form for medical records or radiological/diagnostic images.

English: 
Download fillable form
Download instructions

Spanish: 
Download fillable form
Download instructions 

Read the form thoroughly and fill it out completely – download the instruction for assistance on how to fill out the form.

Mail the completed form to:
Montefiore Einstein
Attention: Health Information Management Department
111 East 210th Street
Bronx, NY 10467

Special Circumstances:

  • If the patient is incapacitated, or unable to sign for him/herself: the patient representative must enter their relationship to the patient so that we can determine authority to request the records. 
  • If the patient is deceased: the court-appointed administrator or executer of the state can request the medical records. A copy of the death certificate will be required to verify death if the patient did not expire in our facilities.
  • Other circumstances additional documentation may be required depending on the situation. For questions, please contact 718-920-4921.

Delivery Expectations

In accordance with New York State law, requests are processed within ten days after the authorization is received.

Amendments

HIPAA provides you the right to amend your medical record. If you believe the information in your record is incorrect, you can request an amendment. A healthcare provider will review and respond to your request. A request to amend records can be filed in person by visiting one of our Montefiore Health Information Management (HIM) locations, where a member of our team can coordinate the amendment process.

If you have questions about your request or need assistance, contact the Health Information Management Department at 718-920-4921.

Montefiore Health Information Management (HIM) Locations

Health Information Management
Jack D. Weiler Hospital (Einstein Campus)
1825 Eastchester Road, Second Floor, Room 2 South-01
Bronx, NY 10461
Monday – Friday: 8:30 AM – 5:00 PM

Health Information Management
Montefiore Wakefield Hospital (Wakefield Campus)
600 East 233rd Street, First Floor (Ask security for directions) 
Bronx, NY, 10466
Monday – Friday: 8:30 AM – 5:00 PM

Health Information Management
Westchester Square Campus
2475 St. Raymonds Avenue, Second Floor, Room 2-9
Bronx, NY 10461
Monday – Friday: 8:30 AM – 5:00 PM

Health Information Management
Moses Campus and Children’s Hospital at Montefiore Einstein (CHAM)
3411 Wayne Avenue, Sixth Floor (Ask security for directions) 
Bronx, NY 10467
Monday – Friday: 8:30 AM – 5:00 PM

Health Information Management
Montefiore Hutchinson Campus
1250 Waters Place, Main Lobby 
Bronx, NY 10461
Monday – Friday: 8:30 AM – 5:00 PM

To request copies of records from one of our following locations, please contact:

Burke Rehabilitation Hospital
914-597-2460

Montefiore Einstein Advanced Care
914-418-6282

Montefiore Nyack Hospital
845-348-2527

Montefiore St. Luke’s Cornwall Hospital
845-568-2520

Scarsdale Medical Group
914-723-8100, Extension 158

White Plains Hospital
914-681-1105

Montefiore Mount Vernon
914-361-6406

Montefiore New Rochelle
914-365-3505