Ascension St. John Hospital
Locations

Ascension St. John Hospital

  • Emergency Care
  • Hospital/Medical Center
  • Imaging
  • Laboratory
  • Primary Care/Clinic
  • Specialty Care
Google maps location of Ascension St. John Hospital

Address

22101 Moross Rd
Detroit,  MI  48236

Phone

313-343-4000
Departments
Book an Appointment

What type of appointment would you like to book?

Emergency Room

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, we have 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.

Questions? Call 1-313-343-6301.

Medical Records Authorization Form