Ascension River District Hospital

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 River District Hospital
Health Information Management Dept.
4100 River Rd.
East China, MI 48054

Questions? Call 810-329-5364.

Medical Records Authorization Form

Birth Certificates

To obtain a birth certificate for babies born at Ascension River District Hospital, call the St. Clair County clerk's office at 810-985-2200 or visit the St. Clair County clerks office.

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 River District Hospital
Health Information Management Dept.
4100 River Rd.
East China, MI 48054

Questions? Call 810-329-5364.

Medical Records Authorization Form

Birth Certificates

To obtain a birth certificate for babies born at Ascension River District Hospital, call the St. Clair County clerk's office at 810-985-2200 or visit the St. Clair County clerks office.