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Medical records 

Do you use myGeisinger (MyChart)?

Log in now to request your medical records

Don’t have a myGeisinger (MyChart) account?

Request your records by downloading the forms below:

Send my records to me

  1. Download Patient Access Request form (PDF)
  2. Download directions on how to complete and submit the form (PDF)
  3. Complete and sign the form
  4. Fax or mail the form to Geisinger at:

Health Information Management Release of Medical Information
100 N. Academy Ave.,
Danville, PA 17822-1311
Fax: 570-214-9523

Send my records to someone else (ex. caregiver, school, etc.)

  1. Download Authorization to Release Medical Information form (PDF)
  2. Download directions on how to complete and submit the form (PDF)
  3. Complete and sign the form
  4. Fax or mail the form to Geisinger at:

Health Information Management Release of Medical Information
100 N. Academy Ave.,
Danville, PA 17822-1311
Fax: 570-214-9523

If you require assistance requesting your medical records,
contact our Health Information Management team at 570-271-6319