Welcome to University Hospitals CMC Health Information Services

University Hospitals makes it easy for you to obtain the information you need directly through our Web site. The following links will help you:

• Release of Information form.
  
  
• Request copies of your University Hospitals Case Medical Center medical records. This page includes contact information, downloadable request forms, instructions for submission, and applicable fees.

• Request a copy of a birth certificate or establish paternity of a child born at a University Hospitals Case Medical Center.

• Find answers to frequently asked questions (FAQs) about medical record and birth certificate requests.

If you cannot find what you need here, please call us at (216) 844-3555, between the hours of 8:00 am and 4:00 pm, Monday through Friday.

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FEES

Medical records are provided as a courtesy for continuity of clinical care.

The State of Ohio provides a two-tiered fee schedule for the cost of providing copies, one for patients and another for others.

One free copy of a patient's medical record is provided, on receipt of appropriate request, to:

• The Bureau of Workers' Compensation, the Industrial Commission, or the Ohio Department of Job and Family Services;
• Patient or patient's representative if the record is necessary to support a claim for Social Security disability benefits and the request is accompanied by documentation that the claim has been filed.

The fee schedule for a patient or a patient's personal representative is as follows:

• No records search fee
• For data recorded on paper:
• $2.84 per page for the first 10 pages
• $0.59 per page for pages 11 through 50
• $0.24 per page for pages 51 and higher
• For data recorded other than on paper (i.e. x-rays):
• $1.94 per page
• Actual cost of postage

The fee schedule for all other requestors is as follows:

• $17.48 records search fee
• For data recorded on paper:
• $1.15 per page for the first 10 pages
• $0.59 per page for pages 11 through 50
• $0.24 per page for pages 51 and higher
• For data recorded other than on paper (i.e. x-rays):
• $1.94 per page
• Actual cost of postage

Health Information Services
phone: (216) 844-3555
fax: (216) 844-7493
11100 Euclid Avenue
Cleveland, OH 44106

8 am - 4 pm
Monday-Friday