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Medical Records

Requesting Your Medical Records

You may request your medical records by printing and filling out an authorization form allowing us to release your private health information. You must then send us the form by mail to:

   Froedtert Health Information Management Department
9200 W. Wisconsin Ave.
Milwaukee, WI 53226


By law, we may not release your medical information through a request made by phone, by e-mail or through the use of an online form.

The form must be filled out completely in order to process your request. Instructions on filling out the form are found on the second page of the document.

Download Authorization Form

In order to view PDF files, you will need the Adobe Acrobat Reader, which is freely available from Adobe’s Web site.  

 

 

Last Review Date: Jan. 17, 2007

Online Editor(s): Christopher Sadler

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© 2008 Froedtert & the Medical College of Wisconsin
9200 West Wisconsin Avenue
Milwaukee, WI 53226