Medical Records Request | Ascension
Providence Health Services Care Center - My Health GPS

Providence Health Services Care Center - My Health GPS

  • Primary Care/Clinic


Monday: 8 a.m. - 4 p.m.
Tuesday: 8 a.m. - 4 p.m.
Wednesday: 8 a.m. - 4 p.m.
Thursday: 8 a.m. - 4 p.m.
Friday: 8 a.m. - 4 p.m.


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.

Providence strongly encourages patients to transfer their medical records and images to their health care providers. This is an important step to ensure that your providers have a full understanding of your health history when they treat you.

Please note that you will need to transfer your records even if you are staying with your existing provider, as he or she are no longer be employed by Providence.

Patients that need to request a copy of their medical records will be required to complete a General Medical Records Release and Authorization for Disclosure of Protected Health Information form:

The form must be filled out and signed. You may mail the completed form to:

Providence Hospital
Attention: Release of Information
1150 Varnum Street NE
Washington DC, 20017.

You may also fax your request to 202-854-7931.

If you have questions regarding release of medical records or need to check on the status of a request, please call 202-854-7000.

If you choose not to transfer your records, they will be maintained in accordance with Providence’s medical record procedures.