Request Medical Records

As an NYU Langone patient, you can request, download, and access your medical record right to your smart phone or computer, through NYU Langone Health MyChart, our secure patient portal.

Parents and caregivers can request and access medical records for a child or a family member with the proper consent, by establishing MyChart proxy access. Patients and healthcare providers are not charged to obtain copies of medical records. There are fees for attorney requests. You can also request medical records by completing our records release form and submitting it by email, mail, or fax.

Request Medical Records Quickly and Efficiently Through NYU Langone Health MyChart

The easiest and fastest way for NYU Langone patients to access and request their medical record is to use their MyChart account is by following these simple steps:

• Log in to MyChart.
• Select “Menu” button.
• Select “Request/Share Records.”
• Select “Request Medical Record.”
• Enter the date range for the medical records you need, or you can request all dates.
• Select “Full visit details.”
• Select “Agree to release information.”
• Select “Send request.”

Once submitted, you will be notified as soon as your records are ready. Records requested through MyChart are usually available to view immediately. You can download and share these records with a family member, healthcare provider, or anyone else you choose.

You can also download your radiology images through your NYU Langone MyChart account. If you are a patient at NYU Langone and do not yet have a MyChart account, you can create your account online.

Parents and guardians can also request and access their child’s medical record in MyChart through proxy or shared access. Patients ages 12 and older can grant access to their MyChart account to a family member or caregiver. For children ages 11 and younger, parents and guardians may request proxy access to their child’s health record in MyChart.

Request Medical Records by Completing and Submitting a Form

Requesting your medical record through MyChart, as described in the previous section, is the fastest way to obtain your documents.

However, if you prefer not to use MyChart, you can request your medical records from your NYU Langone visits by completing the Authorization for Use and Disclosure of Protected Health Information (PHI) form.

To submit the form via traditional mail, fax, or email, please download a static version of the form. You must sign the form before submitting it, and we can only process forms from NYU Langone patients. With this method, it may take several days for you to receive your records.

The Authorization for Use and Disclosure of PHI form is also available in the following languages:

• Albanian
• Arabic
• Bengali
• Chinese
• French
• Greek
• Haitian–Creole
• Hindi
• Italian
• Korean
• Polish
• Portuguese
• Russian
• Spanish

Requests for copies of your medical records to be sent directly to a healthcare provider for an upcoming appointment are expedited, and we make every effort to have them available at the time of your visit.

To Request Hospital Records

To request hospital records, please send the completed form, along with a copy of your photo identification, to the following address:

NYU Langone Health, Health Information Management
One Park Avenue, 3rd Floor
New York, NY 10016

You can also email the completed form to HIS@NYULangone.org or fax it to 929-455-9833.

To Request Records from Other Locations

If you are seeking records from another NYU Langone Health location, please refer to the links below for contact information and submit your request directly to that doctor or location.

• NYU Langone doctors
• NYU Langone locations

Request Medical Records for a Deceased Patient

A family member or representative can also request medical records for a deceased patient. To request records for a deceased patient, you can complete the Authorization for Use and Disclosure of PHI formand a letter of testamentary from the courts designating the administrator or executor. Alternatively, you can also complete an authorization form, submit an original copy of the patient’s death certificate, and the signed or notarized Affidavit of Distributee Status form.

Another option is to complete an authorization form, letters of testamentary or the affidavit form, an original copy of the death certificate, and a power of attorney form signed by the distributee explicitly authorizing the requester to request medical records.

You can submit all forms to the street address, email, or fax number listed on the Authorization for Use and Disclosure of PHI form.

The Health Insurance Portability and Accountability Act (HIPAA) privacy rule protects the individually identifiable health information of a decedent for 50 years following the date of death of the patient.

Correct or Amend Your Medical Record

If you believe that the information in your medical record is incorrect, please complete and return the Request for Amendment form. Your healthcare provider reviews this form and responds to the request.