Requesting Medical Records

1. Authorization for Access/Release of Information form 
2. Instructions to obtain a copy of your medical records

*You will need Adobe Acrobat Reader installed in order to read the pdf files that contain the forms.

To obtain a copy of your medical records, please complete and sign the “Authorization for Access/Release of Information” form. To expedite the request process, please make sure to include the following information on the request form:

• The patient’s full name, the patient’s date of birth, current address, phone number, date(s) of service here at Oakland Regional Hospital, Oakland Nursing Center, or Oakland
• Regional Macomb Center.  And please be sure to specify the information you are requesting:  IE: operative report(s), radiological report(s), lab results, etc.

The completed form can be returned to the Medical Record Department either by fax or mail.

Our Fax Number: (248) 423-5177

• There may be a per page copy fee as determined by the State of Michigan.  
• All requests are processed by a third party Copy Service – Bactes Imaging.
• For a standard request, you should expect a 5 – 7 business day turn-around.  Special requests and records stored off-site will take longer to process.
• Please feel free to call the Medical Record Department directly at (248) 423-5171 (Monday – Friday, 8am – 4pm), if you have further questions.
• To check on the status of a request that has already been sent in:  1-800-560-3800 ext 2

Related Links

• Your Medical Record Rights
• State of Michigan Medical Record Retention Law
• Create your own personal health record at www.myphr.com