Make a request online or mail in a form
Request your records electronically
You can request your records using our fast, secure online form. You'll be redirected to MRO, our trusted records partner. Photo ID required.
Start online request
You can also request your medical records through MyChart. Sign in to get started.
Request records in MyChart
Mail your request form
Prefer to mail your request? Download and complete the forms below, then fax or mail them to Geisinger. To request your own records:
- Download Patient Access Request form (PDF).
- Download directions on how to complete and submit the form (PDF).
- Complete and sign the form.
- Fax or mail to:
Health Information Management Release of Medical Information
100 N. Academy Ave.
Danville, PA 17822-1311
Fax: 570-214-9523
Send my medical records to someone else
To authorize release of your records to a caregiver, school or another provider:
- Download Authorization to Release Medical Information form (PDF).
- Download directions on how to complete and submit the form (PDF).
- Complete and sign the form.
- Fax or mail the form to:
Health Information Management Release of Medical Information
100 N. Academy Ave.
Danville, PA 17822-1311
Fax: 570-214-9523
For Geisinger Marworth Treatment Center patients
Download and complete the appropriate form: