Medical Records Request | Ascension
Ascension St. John Hospital - Van Elslander Cancer Center
Locations

Ascension St. John Hospital - Van Elslander Cancer Center

Located on the Ascension St. John Hospital campus
  • Cancer Care
  • Specialty Care
Google maps location of Ascension St. John Hospital - Van Elslander Cancer Center

Address

19229 Mack Ave
Grosse Pointe Woods,  MI  48236

Phone

313-647-3000

Hours

Call for daily hours
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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, 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