The Health Information Management (HIM) department handles all requests for medical records or radiology images.
Patient or Patient Representative
You have the right to get a copy of your medical records for yourself. You may also request your health information to be sent to anyone, including health providers, employers, or other organizations.
There are three ways to view or request medical records.
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1. View or request your medical records through your MyChart account.
If you do not have a MyChart account, you can "Request Activation Code" and "Activate Your Account" on the MyChart page.
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2. Complete the request form or download the release form.
PATIENTS: Complete the Patient Request for Medical Records (Solicitud del paciente para el expediente médico).
PATIENT REPRESENTATIVES: Download the Authorization to Release Protected Health Information form.
Complete all fields of the forms to prevent any delays in processing.
If requesting all records, include Froedtert Hospital and Clinics, MCW Clinics, Community Physician Clinics, Froedtert Menomonee Falls and West Bend Hospital, Community Hospitals, and Froedtert Holy Family Memorial, Inc.
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3. Send a signed and dated letter.
In lieu of completing the form above, you may submit a written request, which includes the information below.
- Patient’s name (previous name(s), if there are any)
- Patient's address
- Patient’s date of birth
- Preferred contact number (home phone/mobile phone) of the person making the request
- E-mail address
- Provider information from whom records are being requested include the provider’s name and/or the name of the hospital, surgery center or health center/clinic that provided the service
- Specific type of information being requested from the medical record — for example, the entire medical record for a specific date(s) of service or a specific note or test result along with the date
- Name of person who will be receiving the information
- Address of person who will be receiving the information
- Format of records (MyChart portal, e-mail, CD or paper).
If you opt to complete a form or submit a written request, you may send your request to:
E-Mail: [email protected]
NOTE: The security of e-mail transfers is not guaranteed.
Mail to:
Froedtert Hospital
Attn: Health Information Management-ROI
9200 W. Wisconsin Ave.
Milwaukee, WI 53226-3596
Phone: 414-805-2909
Fax: 414-259-1244
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Where to Pick Up Your Records in Person
You can pick up your medical records and radiology imaging records in person at the following location.
Froedtert Hospital
9200 W. Wisconsin Ave.
Milwaukee, WI 53226-3596
Ph: 414-805-2909
Fax: 414-259-1244
Third-Party Requestor
This applies to groups such as insurance companies and attorneys.
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Download Authorization and Send Request
Download the form — Authorization to Release Protected Health Information.
Complete all fields of the authorization form to prevent any delays in processing. Check all Froedtert & MCW hospitals, surgery centers and/or Froedtert & MCW Community Physicians (clinics) on the form as appropriate.
To request all records, include Froedtert Hospital and Clinics, MCW Clinics, Community Physicians Clinics, Froedtert Menomonee Falls and West Bend Hospital, Community Hospitals, and Froedtert Holy Family Memorial, Inc.
When Will I Receive My Copies and What Is the Cost?
The time to process your request is 7 to 10 business days. There is no fee for records.
Note: Radiology Imaging records can be requested through MyChart, but will be released via email based on request.
If you are requesting an EHI Export of your patient records, please contact Health Information at 262-836-6368.
Froedtert South
If you are looking for Froedtert South records which include Froedtert Kenosha Hospital (formerly Kenosha Medical Center), Froedtert Pleasant Prairie Hospital (formerly St. Catherine’s Medical Center) and the Froedtert South Medical Group locations in Kenosha, Paddock Lake and Pleasant Prairie.
For more information, please visit froedtertsouth.com/patients-visitors/patient-privacy-rights-medical-records.
Birth Certificates
Request birth certificates through the state of Wisconsin, not from the Froedtert & MCW health network. Visit the Wisconsin Birth Certificate Website.