About Us

Obtaining Medical Records

To request that a copy of your/your child's medical record be released to you or to an organization (i.e., school, day care provider, employer), complete a request form (see table below) and send it by mail or fax or deliver it in person to the Children's Hospital location indicated below. Because a signature is required to release your information, we are not able to process requests received by telephone or email. If you pick up a copy of the medical record in person, we will ask for photo identification. There may be a fee for providing copies of the medical record.

To request information about: Use this form and send to the location indicated below:
Inpatient services provided at the Main Hospital or Children's Seashore House, including Emergency Department visits, day surgery, and stays lasting 23 hours or longer Authorization to Release/Obtain Patient Information

Health Information Management Department
The Children's Hospital of Philadelphia
34th and Civic Center Boulevard
Level A, Room AW80
Philadelphia, PA 19104

Telephone: 215-590-3640
Fax: 215-590-4193
Outpatient services (i.e., doctor visits, blood tests) provided at the Main Hospital* Authorization to Release/Obtain Patient Information

Send to the department where service was provided or call 215-590-1000 to reach the appropriate department.
Outpatient services (i.e., occupational or physical therapy, speech, rehabilitation, psychology) provided at Children's Seashore House Authorization to Release/Obtain Patient Information

Health Information Management Department
The Children's Hospital of Philadelphia
34th and Civic Center Boulevard
Level A, Room AW80
Philadelphia, PA 19104

Telephone: 215-590-3640
Fax: 215-590-4193
Services provided at Pediatric and Adolescent Specialty Care Centers Authorization to Release/Obtain Patient Information

Send to the Specialty Care Center where service was provided.
Services provided at Pediatric and Adolescent Care Centers Authorization to Release/Obtain Patient Information

Send to the Care Center where service was provided.
X-rays or other radiological images, including CT scans, MRIs and ultrasounds. (Radiological images are released on CD.) Authorization to Release/Obtain Patient Information

The Children's Hospital of Philadelphia
Radiology Department
Radiology File Room
34th and Civic Center Boulevard
Philadelphia, PA 19104

Telephone: 215-590-1000
Fax: 215-590-4783

*If a test was ordered by a physician who is not affiliated with Children's Hospital, please contact that physician directly.  

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