Medical Records Request | Ascension
Ascension Columbia St. Mary's - Cedar Mills
Locations

Ascension Columbia St. Mary's - Cedar Mills

A department of Ascension Columbia St. Mary’s Hospital
  • Primary Care/Clinic
  • Pediatrics
  • Podiatry
Google maps location of Ascension Columbia St. Mary's - Cedar Mills

Address

n143w6515 Pioneer Rd
Cedarburg,  WI  53012

Phone

262-377-6933

Appointments

262-377-6933
Departments
Book an Appointment

What type of appointment would you like to book?

Other

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.

Medical Records Information

  1. Call the Ascension Columbia St. Mary's Hospital or doctor's office that holds your records** or
  2. Print and complete a release form (listed below) and submit it to your doctor's office or the hospital that holds your records. We cannot provide medical records based on an email or emailed online form. The form must be either faxed or mailed.

Release Forms

*Medical Records Department phone numbers can be found by clicking on either form below.

**Please Note: You will be charged a small fee for a full copy of your medical records or for more than one copy of any portion (or portions) of your medical records. There is NO charge for a single copy of any ONE portion of your records.