CALL US TODAY: 718.869.7000 | 327 Beach 19th St, Far Rockaway NY 11691

Health Information Management (HIM)

Medical Records Request

Your medical records (personal health information) are managed by the Health Information Management Department located on the 1st floor of the hospital.

Hours of Operation: Monday-Friday from 9:00 am to 3:00 pm (excluding public holidays)

How to Request your Medical Records

Medical records for patients or a third party can be obtained by downloading and completing the request for release of information.

Click Here for Authorization for Release of Health Information Form

Clearly state the type of record needed, specific date(s) of service, and all other information requested on the form. Release of information forms are also available at the Health Information Management (HIM) department. State and federal processing fees and copying charges may apply. An invoice will be issued if charges apply.

  • $6.50 for the electronic portion of records
  • $0.07 per page for the paper portion of records
  • $0.90 flat fee for labor and portion of records maintained on paper

Additional fees will be applied to third party requests

Patients can also access their medical records limited to test results and visit summaries by clicking the online patient portal link to register.

New York State regulation allows patients and other qualified individuals access to medical records. Records needed for direct patient care and physician appointments are prioritized and can be requested by fax and sent directly to healthcare providers.

A valid driver's license or government-issued photo identification is required when picking up records. Only patients or patient authorized individuals may pick up a copy of medical records.

Please note, St. John's Episcopal Hospital does not issue birth or death certificates. Please contact the New York State Department of Vital Records of visit the website at https://www.health.ny.gov/vital_records/.

If you have questions, please contact us:

St. John's Episcopal Hospital

Health Information Management Department

327 Beach 19th Street

Far Rockaway, NY 11691

Telephone: 718-869-7797

Fax: 718-869-8554

327 Beach 19th Street Far Rockaway, NY 11691 | TO REACH US: (718) 869-7000