To request copies of your medical records, please print and fill out the Authorization to View/Disclose Health Information. Once you have completed this form, you may:
Drop it Off - Authorization to View/Disclose Health Information forms are accepted during business hours. Please bring a photo ID when dropping off this form.
Mail - Authorization forms may be mailed to the address of the facility you select below. Please include a copy of a photo ID or include a notarized signature.
We are unable to accept authorizations via e-mail due to state and federal laws.
Requests are usually completed within one week but may be delayed if your medical record is not available. Requests may be completed in less than one week if the request is for a medical need.
A photo ID is required when picking up copies of medical records.
Viewing Your Medical Records
Accessing your records using My Chart is a quick and convenient way to view your medical records. Please see the Ascension Website on how to obtain a My Chart account. If you prefer to view records in person, you will need to make an appointment at the specific hospital or clinic. Please call the site-specific number listed below. Appointments are scheduled as soon as possible.
Copy costs may vary, please select a facility below for contact information to obtain current copy rates or to download an AUTHORIZATION TO VIEW/DISCLOSE HEALTH INFORMATION form, and view instructions on how to complete it.
Care Everywhere®
Ascension Wheaton Franciscan Healthcare, part of Ascension, discloses your health information without your written permission when other hospitals, physicians, and health care providers need to treat you. The exchanging and sharing of your health information between the physicians who treat you is helpful in the continuity of your care. Your Ascension Wheaton health information is automatically included in this electronic exchange through Epic’s Care Everywhere® unless you request in writing for it to be excluded.
To have your health information excluded from Care Everywhere®, please complete the Care Everywhere® Opt Out Form and submit to the facility that created your health information.
Acute-Care Hospitals
Ascension All Saints Hospital
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3801 Spring Street
Racine, WI 53405
Phone: 262-687-4388
Fax: 262-687-4108
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
1320 Wisconsin Avenue
Racine, WI 53403
Phone: 262-687-4388
Fax: 262-687-4108
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Please Note: All Saints Hospital - Wisconsin Avenue Medical Records Department has been relocated to All Saints Hospital - Spring Street Medical Records Department. If you are picking up records for a visit at the Wisconsin Avenue location, they will be available at the Spring Street location.
Ascension SE Wisconsin Hospital - Elmbrook Campus
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19333 W. North Avenue
Brookfield, WI 53045
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Please Note: The Elmbrook Medical Records Department has been relocated to St. Joseph Hospital where Elmbrook record requests are now processed. If you are picking records up, they will be available at St. Joseph.
Ascension SE Wisconsin Hospital - Franklin Campus
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10101 S. 27th Street
Franklin, WI 53132
Phone: 414-325-5065
Fax: 414-325-5066
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Ascension St. Francis Hospital
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3237 South 16th Street
Milwaukee, WI 53215
Phone: 414-647-5358
Fax: 414-647-5869
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Ascension SE Wisconsin Hospital - St. Joseph Campus
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5000 W. Chambers Street
Milwaukee, WI 53210
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Please Note: Records from Wheaton Franciscan - Brown Deer Campus may be obtained through Wheaton Franciscan - St. Joseph Campus.
Ascension St. Michael's Hospital
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Wheaton Franciscan - St. Joseph Campus
5000 W. Chambers Street
Milwaukee, WI 53210
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday - Friday: 8:00 a.m. – 4:30 p.m.
Please Note: This hospital has closed. Record requests are processed at Wheaton Franciscan - St. Joseph Campus. If you are picking records up, they will be available at St. Joseph.
Specialty Hospitals
Midwest Spine and Orthopedic Hospital/Wisconsin Heart Hospital Campus
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10000 W. Bluemound Road
Wauwatosa, WI 53226
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Please Note: This hospital has closed. Record requests are processed at Wheaton Franciscan - St. Joseph Campus. If you are picking records up, they will be available at St. Joseph.
Midwest Orthopedic Specialty Hospital
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10101 S. 27th Street
Franklin, WI 53130
Phone: 414-817-3965
Fax: 414-325-5066
Hours: Monday – Friday: 8:00 a.m. – 4:30 p.m.
Ascension Medical Group
Ascension Medical Group Milwaukee, Waukesha and Racine Counties
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3807 Spring Street (Lower Level)
Racine, WI 53405
Phone: 262-687-8147
Fax: 262-687-8060
Hours: Monday – Friday: 7:00 a.m. – 4:30 p.m.
Provider Correspondence Unit in Racine County
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3807 Spring Street
Racine, WI 53405
Phone: 262-687-8408
Fax: 262-687-8179
Hours: Monday - Friday: 7:00 a.m. - 4:30 p.m.
Transitional and Extended Care Facilities
Franciscan Woods
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19525 W. North Avenue
Brookfield, WI. 53045
Phone: 262-780-3829
Fax: 262-780-3805
As a patient of Ascension Wheaton, you have the right, consistent with laws and regulations, to see and receive a copy of health information about yourself.
Patients also have the right to request amendments to their medical records. Please complete the Request for Amendment Form and submit to the facility that created the information.
