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Medical Records

Medical Records Information

If you have any medical record questions not answered here, please call the Department of Health Information Management (formerly the Medical Records Department) at (608) 417-6030, Monday-Friday, 8 a.m. – 4:30 p.m. (Central Standard Time)

The Department of Health Information Management is located at 2650 Novation Parkway, Madison, WI. Please call for an appointment of to pick up your records.

Medical Records Information and Authorization/Consent for Release of Medical Information Form

Q: How can I get a copy of my medical records released to a third party?
A: The appropriate form is available below. You will need to sign this form before we can release your medical records.

Q: Can a family member or friend sign a consent form for a copy of my medical records?
A: No one except for the person whose name appears on the medical record can sign the consent form. However, if the medical records are for a minor or an adult under the care of a legal guardian, the legal guardian may sign the consent form.

Q: How can I receive my medical records?
A: We can mail your medical records to you, or you may pick them up in the Meriter Department of Health Information Management (2650 Novation Parkway). Medical records cannot be faxed due to lack of confidentiality.

Q: If I had a procedure done at another hospital, is that information in my medical records at Meriter?
A: Meriter only has medical records for procedures done at Meriter Hospital. To inquire about medical records on procedures done at other hospitals, you must contact each individual institution.

Q: What if I do not agree with comments made by a physician on my medical records?
A: You have the right to make an addendum to your medical record. Contact the Meriter Department of Health Information Management at (608) 417-6402.

Q: Can I get a copy of my birth certificate from the Meriter Department of Health Information Management?
A: Birth certificates are not kept in your medical record, even if you were born at Meriter. You will need to contact the State of Wisconsin Department of Vital Records at (608) 266-4142 for information on how to receive your birth certificate. Note that the Wisconsin Vital Records Web site also has forms you can print out to request your birth certificate.

Authorization/Consent for Release of Medical Information Form

If you wish to share your protected health information at Meriter with another party, you will need to fill out this form.

This form should also be used if you wish to share records for someone for whom you have legal authority (parent of minor, etc.).

Download an Authorization/Consent for Release of Medical Information from Meriter Hospital Form

Download an Authorization/Consent for Release of Medical Information from Meriter Clinic Form