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Medical Records

How to Request Medical Records

At Catskill Regional Medical Center, we want to make accessing your medical records convienent per your individual needs. In order to do so, we offer three different methods of requesting and accessing your medical records, electronically through MyChart, or by submitting a written request to the Health Information Management (HIM) Department, via this Authorization for Release of Protected Health Information (PHI) form or through written letter.

Electronic Medical Record Access Through MyChart

Castskill Regional Medical Center offers convenient electronic access to your medical information through a web-based version of our computer system called MyChart. MyChart allows you to access the medical information listed below.

  • Test results
  • Immunizations
  • Health issues
  • Health summary
  • Medications
  • Medical history
  • Allergies

MyChart also allows you to view your billing summary and health insurance information while also making it easy to pay your bill online. Ask your nurse about this safe and secure way for you to access your personal health information. To log on, visit mychart.crmcny.org.

Health Information Management (HIM) Department Request

You may also request medical records from Catskill Regional Medical Center by submitting a written request to the Health Information Management (HIM) Department.

Request by filling out this form: Download and use this Authorization for Release of Protected Health Information (PHI) form.

Request by writing a letter: To request medical records from Catskill Regional Medical Center, you will need to submit a written request to the Health Information Management (HIM) Department. This letter must include the following information:
1. Identifying information (your name, date of birth, medical record number (if known)

1.1. The name and address of the individual or institution you wish to receive your records

1.2. The specific information you would like released; you must also include a time frame (example: April 12, 2006 or April 2006 to May 2006) and the type of information (example: Emergency Room Record)

2. Signature of the patient or legal guardian and date (Please note: if you are submitting a request on behalf of an adult for whom you are the executor or the power of attorney, you must submit a copy of the appropriate documentation)

3. An expiration date for the request. If no date is given, the authorization will expire 1 year after being signed

4. A statement that the authorization may be revoked at any time, except to the extent that action has already been taken in reliance on the authorization

5. Address your letter to location at which you received care (see mailing addresses below)

Medical record requests are usually processed within seven to ten business days. A photo ID is required when picking up requested information.

Fees

There is no charge for obtaining a copy of your medical record.

Mailing Address
Catskill Regional Medical Center
Health Information Management Department
68 Harris Bushville Road
Harris, NY 12742

Office Location
Catskill Regional Medical Center
Health Information Management Department
68 Harris Bushville Road
Harris, NY 12742

phone: 845-794-3300, ext. 2180
fax: 845-794-3376
Please note – you must stop at registration desk in the Main Lobby to obtain a pass and you will be escorted to the Health Information Management Department.