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Health Information Management/Medical Records 

About your Medical Records
St. Mary's Hospital is committed to protecting your privacy and confidentiality. The Health Information Management Department maintains St. Mary's patient health care records. We also review all requests for copies before processing.

How to Obtain a Copy of a Birth Certificate
In order to obtain a copy of a birth certificate, and the individual was born in Wisconsin, you may request a copy from the State of Wisconsin Department of Health, Office of Vital Records. St. Mary's Hospital does not have copies of birth certificates.

How to Obtain Copies of Medical Records
In order to obtain copies of your medical records, you are required to fill out an "Authorization for Use and Disclosure of Protected Health Information" form.

You may request one by calling the Health Information Management Department at (608) 258-6689 or download the PDF file below.

We require patient or legal guardian authorization in order to release copies of your medical records. These records are sent by mail and are not available by facsimile. The original records are kept at St. Mary's Hospital. You may request copies of your records at any time.

Authorization for Use and Disclosure of Protected Health Information form

Note: A separate authorization is required for each request.

Copy Fees
For current information about copy fees, please contact the Health Information Management Department at (608) 258-6689. Turnaround Time Please expect a turnaround time of 10-14 business days for your request to be processed. For more information, please contact the Health Information Management Department at St. Mary's Hospital at (608) 258-6689.



St. Mary's Hospital     700 South Park Street     Madison, WI 53715-0450     (608) 251-6100
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