Request Medical Records
As an NYU Langone patient, you can request and access your medical record online through NYU Langone Health MyChart, our secure patient portal. You can also request medical records by completing our records release form and submitting it by email, mail, or fax.
Parents and caregivers can request and access medical records for a child or a family member with the proper consent. Patients and healthcare providers are not charged to obtain copies of medical records. There are fees for attorney requests.
Request Medical Records 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. With MyChart, you submit your request electronically and get notified when records are ready. You can download or share these records with a family member, healthcare provider, or anyone 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.
Records requested through MyChart are usually available to view immediately.
Parents and guardians can also request and access their child’s medical record in MyChart through proxy or shared access. Patients age 12 and older can grant access to their MyChart account to a family member or caregiver. For children age 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
If you prefer not to use MyChart, you can request your medical records from your NYU Langone Health visits by completing the Authorization for Use and Disclosure of Protected Health Information (PHI) form. Patients can request their own records by filling out the form online or by printing it out and completing it by hand. You must sign the form before submitting it. If you are not an NYU Langone patient, this form will not be processed. Please send the completed form, along with a copy of your photo identification, to:
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.
You can also specify how you would like to receive your medical records—either through MyChart, email, or paper copies—on the Authorization for Use and Disclosure of PHI form. This method may take several days for you to receive your records. Requesting your medical record through MyChart as described in the previous section is the fastest way to seamlessly obtain your documents.
The Authorization for Use and Disclosure of PHI form is also available in Albanian, Arabic, Bengali, Chinese, French, Greek, Haitian–Creole, Hindi, Italian, Korean, Polish, Portuguese, Russian, and 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.
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 form and 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.