Ascension St. John Hospital - St. John Internal Medicine at 19251 Mack Ave. in Grosse Pointe, Michigan.
Locations

Van Elslander Cancer Center

  • Cancer Care
  • Specialty Care
Hours
Call us for daily hours
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