Medical Records Request | Ascension
Ascension Macomb-Oakland Hospital, Madison Heights Campus
Locations

Ascension Macomb-Oakland Hospital, Madison Heights Campus

  • Hospital/Medical Center
Google maps location of Ascension Macomb-Oakland Hospital, Madison Heights Campus

Address

27351 Dequindre Rd
Madison Heights,  MI  48071

Phone

248-967-7000

Hours

Visiting Hours:
Monday: 8 a.m. - 7 p.m.
Tuesday: 8 a.m. - 7 p.m.
Wednesday: 8 a.m. - 7 p.m.
Thursday: 8 a.m. - 7 p.m.
Friday: 8 a.m. - 7 p.m.
Saturday: 8 a.m. - 5 p.m.
Sunday: 8 a.m. - 5 p.m.
Holidays: 8 a.m. - 5 p.m.

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Medical Records Request

As a patient, you have the right to access your medical records. Here you'll find instructions and a convenient form to help us process your request.

Under Federal and State law, a patient has a right to request a copy of his or her medical records. However, a completed written authorization is required prior to processing a request. For your convenience, St. John Providence, part of Ascension, has made available a medical records authorization form that may be downloaded for your personal use. Be sure to specify the dates of service and the type of information needed. If you are requesting records be sent to you, you will receive a bill

Mail the completed authorization form to:
Ascension Macomb-Oakland Hospital, Madison Heights Campus
Health Information Management Dept.
27351 Dequindre Rd.
Madison Heights, MI 48071

Questions? Call 248-967-7060.

Medical Records Authorization Form

Under Federal and State law, a patient has a right to request a copy of his or her medical records. However, a completed written authorization is required prior to processing a request. For your convenience, St. John Providence, part of Ascension, has made available a medical records authorization form that may be downloaded for your personal use. Be sure to specify the dates of service and the type of information needed. If you are requesting records be sent to you, you will receive a bill

Mail the completed authorization form to:
Ascension Macomb-Oakland Hospital, Madison Heights Campus
Health Information Management Dept.
27351 Dequindre Rd.
Madison Heights, MI 48071

Questions? Call 248-967-7060.

Medical Records Authorization Form

Medical Records Request

As a patient, you have the right to access your medical records. Here you'll find instructions and a convenient form to help us process your request.