Requesting 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 Hospital

9200 West Wisconsin Avenue
Milwaukee, WI 53226-3596
Ph: 414-805-2909
Fax: 414-259-1244

Community Memorial Hospital

W180 N8085 Town Hall Road
Menomonee Falls, WI 53051
Ph: 262-257-3415
Fax: 262-253-7186

St. Joseph’s Hospital

3200 Pleasant Valley Road
West Bend, WI 53095
Ph: 262-836-5057
Fax: 262-836-8470

Medical College of Wisconsin

10000 Innovation Drive, Ste 300
Milwaukee, WI 53226
Ph: 414-955-5489
Fax: 414-955-6606

Community Physicians

110 Lone Oak Lane
Hartford, WI 53027
Ph: 262-836-2510
Fax: 262-670-5580

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.

Download Authorization Form