Medical Records and Forms
To request a copy of your Chestnut Hill Hospital medical records for yourself, download this form:
To authorize a third party to receive a copy of your medical records, download this form.
To request a copy of your medical records from Tower Health Medical Group for yourself, download this form:
If you have questions, please call contact us.
ROI Department Move
As of Monday, August 19, 2019, the Release of Information (ROI) department (previously located on the ground floor of the main hospital building, next to outpatient registration) will move to the main Health Information Management (HIM) office on the first floor of the main hospital building. All patients who wish to receive copies of their medical record information or medical images should report to the new ROI office on the first floor.
- When arriving to Chestnut Hill Hospital, park in the garage (bring your parking ticket into the ROI office to be authorized for free parking) and cross the bridge into the main building. Stop at the front desk in the main lobby to check in. The ROI office is through the main lobby, first door on the left (after the bathroom and emergency exit doors).