Medical Records
Medical Records Request Guidelines
Mount Carmel has processes and procedures to ensure timely release of medical records. We use a state-of-the-art electronic medical record system that allows you to access information about the care you received on our web-based patient portal, MyChart. MyChart is secure and available 24/7 from your phone, tablet, or computer. Click the below MyChart button to start accessing your information.
Request Options for copies of medical records.
To request a copy of your medical records, Mount Carmel Health has two options:
Option 1.
Online Request Application – FOR PATIENTS ONLY
Click the button below to submit a request through our secure online portal with request status tracking. Please have your driver’s license or government issued ID available to send with your request. Records cannot be released without proper identification.
Several delivery methods are available: MRO online portal, MyChart portal, U.S. Mail, or secure email.
Option 2.
Download the Authorization to Use or Disclose PHI form:
Patients can order copies of their medical records by completing the Authorization to Use or Disclose PHI form and returning the completed form with a copy of your driver’s license or government issued ID. Records will not be released without proper identification.
To prevent processing delays, ensure all forms are fully completed, signed, and dated by the patient or patient's representative.
Authorization to Disclose PHI Form
Note: Mount Carmel accepts external authorization forms, provided they meet all requirements for a valid disclosure.
Fees for Records
Copies for patients or patient representatives may have a reasonable cost-based fee. Please contact the Health Information Management Department 380-898-4075 for more information.
Submission and Contact Information
Completed Authorization to Use or Disclose PHI forms can be submitted via mail, email, fax, or in person to:
Mount Carmel St. Ann’s
Health Information Management Department
500 S. Cleveland Ave, West Wing 208
Westerville, Ohio 43081
Email: ROI@mchs.com
Fax: 614-234-9670
Contact & Hours
For inquiries, please contact Health Information Management, 380-898-4075.
- Days: Monday through Friday (Closed weekends and holidays)
- Hours: 8:00 a.m. – 4:15 p.m.
- Daily Closure: 11:55 a.m. – 1:00 p.m. (Lunch)
Processing Timeline
Medical record requests are processed within 30 calendar days of receipt. If an extension is needed, we will let you know in writing with the reason for the delay and the expected fulfillment date.