Medical Records

Access your medical information

Are you or your legal representative looking to get copies of your medical records? We’re happy to help! We just need you to fill out and deliver the form below.

Step 1: Fill out the authorization form

Please download the authorization form, then fill, date, and sign it. In the form, we ask you to identify which components of your medical records you’d like to receive—but if you’re unsure what you need, the discharge summary, operative report, and history tend to contain the most relevant information.

Download authorization form

Step 2: Submit the form

There are a few ways to submit the form.

You can fax it to: (207) 351-2249, Attn: Medical Records.

You can email it to: medicalrecords@und-ich.com.

Or you can deliver the form to the address below, via mail or in person:

Medical Records Office
York Hospital
15 Hospital Drive
York, ME 03909

Have any questions?

If you have any questions regarding the release of health information, please call (207) 351-2184, Monday – Friday: 8:00 a.m. – 4:30 p.m., or email us anytime at medicalrecords@und-ich.com.