Your Medical Records

Henry Ford Health is dedicated to collecting, maintaining, and providing quality health information. We are committed to assuring that accurate patient information is available to our customers in an efficient manner, while protecting the confidentiality and security of that information.

Henry Ford Health Release of Information Offices are closed for walk in services. We have several virtual options for requesting and receiving your medical records.

If you have an urgent need to get copies of your medical records, please call Health Information Management Department at (313) 916-4540. Our hours are Monday through Friday 8:00am to 5:00pm.

Looking to request medical records at a Former Ascension care site in Southeast Michigan or the Greater Flint area? Find information here.

Access your medical records online

Henry Ford Health MyChart allows you to review portions of your medical/surgical history including lab results, test results, current immunizations, provider notes. It is free to use, completely secure, and available 24 hours a day.

You may also request the remaining portions of your medical records through MyChart. Please allow up to 3-5 business days from the submission of your request, for your records to be processed and released.

If you do not have a MyChart account, you can create one by clicking the sign-up link below.

Sign up for MyChart

MyChart Assistance

Phone: (313) 876-7951


Obtaining Copies of Your Medical Records

Medical records can be released to the patient or anyone that the patient authorizes by completing the medical records authorization. It may take 7-10 business days to process your request. There may be a fee charged for your medical records.

Medical Records Online Request

To request your medical record electronically you must have your valid e-mail address, cell phone and driver’s license or government issued photo i.d. available to verify your identity.

Request Medical Records

Print a Medical Records Authorization Form

Please send the completed and signed medical records authorization to the Henry Ford Health Information Department:

Email: HFHSMedicalRecords@HFHS.org
Fax: (313) 916-3917
Mail (mailing address only): Henry Ford Health Information Department
1414 E Maple Road
Troy, MI 48083

The medical records authorization MUST contain the following information, or the request will be returned:

  • Patient's full name, date of birth, address, phone number (include any previous names)
  • To whom the information is to be sent (name and address)
  • Specific information being requested (e.g., location of treatment, provider name, type of report/information and dates of service, etc.)
  • Signature of the patient or the patient's legal representative. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney
  • Date of the signature

Release Form

Release Form - Spanish

Request for Deceased Patient’s Records 

Complete and submit both the Release Form and Release Form - Deceased when requesting a deceased patient's medical records.. 

Release Form

Release Form - Deceased

 


Birth and Death Certificates

To obtain a copy of a birth or death certificate contact the county clerk’s office in the county the birth or death occurred or from the Michigan Department of Health and Human Services.

MI Department of Health and Human Services Contact Information:


Assistance

Please contact the Health Information Management department.
Monday – Friday: 8:00 a.m. – 5:00 p.m.
Henry Ford Health: (313) 916-4540

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