How to Get Your Hospital Medical Records

You have the legal right to access your hospital medical records. Whether you need them for a new doctor, insurance claim, or personal reference, here's how to obtain your records efficiently.

Your Right to Your Records

Under HIPAA, you have the right to:

  • Access and obtain copies of your medical records
  • Receive records in the format you request (paper or electronic) if the hospital can reasonably produce them
  • Have records sent directly to a third party (another doctor, attorney, etc.) at your request
  • Receive records within 30 days of your request (a 30-day extension may apply in some cases)

How to Request Your Records

Step 1: Identify the Right Department

  • Contact the hospital's Health Information Management (HIM) or Medical Records department
  • You can usually find contact information on the hospital's website or by calling the main number
  • Some hospitals offer online request portals

Step 2: Submit a Written Request

  • Most hospitals require a signed, written authorization
  • The request should include your full name, date of birth, dates of service, and what records you need
  • Include a valid photo ID or be prepared to verify your identity
  • Specify the format (paper copies, CD, electronic via patient portal)

Step 3: Be Specific About What You Need

You can request all or part of your records:

  • Discharge summary: Overview of your stay, diagnosis, treatment, and follow-up plan
  • Operative reports: Details of surgical procedures
  • Lab results: Blood work, pathology, and other test results
  • Imaging reports: X-ray, CT, MRI results and images
  • Physician notes: Progress notes and consultations
  • Nursing notes: Nursing assessments and care documentation
  • Medication records: All medications administered during your stay
  • Billing records: Itemized charges

Costs

  • Hospitals can charge a reasonable, cost-based fee for copies
  • Fees vary by state — some states set maximum per-page charges
  • Electronic copies are generally less expensive than paper
  • The first copy of records used for a disability or insurance claim may be free in some states
  • You cannot be denied records because of an unpaid hospital bill

Patient Portals

  • Many hospitals offer free online access to records through patient portals
  • Portals typically include test results, visit summaries, and medication lists
  • Access is usually immediate once your account is set up
  • Portals may not include all records — request a complete copy if needed

If Your Request Is Denied

  • The hospital must explain the reason for denial in writing
  • You have the right to have the denial reviewed
  • You can file a complaint with HHS Office for Civil Rights
  • Very few reasons justify denying access to your own records

Data sourced from CMS. Visit Medicare Care Compare or call 1-800-MEDICARE.

Disclaimer: This article is for informational purposes only and does not constitute legal advice.

Important

This article explains how hospital quality data works and is for general information only. It is not medical advice and must not be used to decide whether to seek, delay or refuse care — that is a decision for you and a clinician who knows your situation.

CMS quality measures describe care delivered during earlier reporting periods and are refreshed roughly quarterly. A hospital's staffing, services and performance can change well before the published numbers do.

hospiguide.org is not affiliated with, endorsed by, or connected to CMS, Medicare, or any U.S. government agency, and publishes no ratings of its own.

Before acting on anything here, verify current details at Medicare.gov Care Compare or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

HospiGuide.org Editorial Team

Our editorial team explains U.S. hospital quality data using official CMS datasets and government publications. We are not medical professionals, we do not recommend hospitals, and we accept no payment for coverage. Every factual claim is checked against a CMS or federal source. Read our editorial policy.

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