Ascension Providence Hospital Health Center at Northwestern Highway at 30055 Northwestern Highway in Farmington Hills, Michigan
Locations

Ascension Rx - Specialty Pharmacy

  • Pharmacy
Hours
Mon - Fri 9:00 a.m. - 5:00 p.m.
Appointments
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