Medical Records Request | Ascension
Ascension Columbia St. Mary's Hospital - Ozaukee Campus
Locations

Ascension Columbia St. Mary's Hospital - Ozaukee Campus

  • Emergency care
  • Hospital/Medical Center
  • Imaging
  • Laboratory
  • Mammography
  • Physical Therapy
  • Cancer care
  • Mental Health
  • Birthing center
  • Wound care and hyperbarics
  • Cardiology
Google maps location of Ascension Columbia St. Mary's Hospital - Ozaukee Campus

Address

13111 North Port Washington Rd
Mequon,  WI  53097

Phone

262-243-7300

Appointments

262-243-7300
Departments
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Emergency Room
Mammography
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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.

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.