Medical Records Release Form

Authorization to Use and Disclose Protected Health Information

Release Form (pdf)

Checklist to Validate Authorization Forms

Request of Medical Records for Personal Use

List of Fees

Birth Certificate Request

Please click on the following link to access your government-issued Birth Certificate:

VitalCheck Network, Inc.

Advance Directives Information

Please click on the following link for access to brochures and other information from the Hospital Association of Pennsylvania (HAP) regarding Advance Directives:

The Hospital & Healthcare Association of Pennsylvania