Patients & Visitors

Request Medical Records
To obtain a copy of your medical records from a University Hospitals inpatient facility or outpatient facility, please contact the facility. For physicain office records, please contact the office.


FORM
Authorization for Release of Medical Information (PDF format)

UH Bedford Medical Center - (440) 735-3569            website: www.uhhsbmc.com

UH Case Medical Center - (216) 844-3555          website: uhhospitals.org/case

UH Conneaut Medical Center  - (440) 593-0253
(formerly Brown Memorial Hospital)

UH Extended Care Campus - (440) 279-2497

UH Geauga Medical Center - (440) 285-6373         website: www.uhhsgrh.com
(formerly Geauga Regional Hospital)

UH Geneva Medical Center - (440) 415-0203
(formerly Memorial Hospital of Geneva)

UH Richmond Medical Center - (440) 585-6413       website: www.uhhsrh.org
(formerly Richmond Heights Hospital)

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:
    • $2.74 per page for the first 10 pages
    • $0.57 per page for pages 11 through 50
    • $0.23 per page for pages 51 and higher
    • For data recorded other than on paper (i.e. x-rays):
    • $1.87 per page
  • Actual cost of postage

The fee schedule for all other requestors is as follows:

  • $16.84 records search fee
  • For data recorded on paper:
    • $1.11 per page for the first 10 pages
    • $0.57 per page for pages 11 through 50
    • $0.23 per page for pages 51 and higher
  • For data recorded other than on paper (i.e. x-rays):
  • $1.87 per page
  • Actual cost of postage