Federal and New York State law governs who has access to the information contained in your medical records and the procedure for requesting that information. As a result, all requests for information must be in writing and must be authorized by you.
To obtain your medical records, please contact us at 518-583-8304 or fax us at 518-580-2546.
For the Medical Records Release Form , please use the link below.
- Authorization to Disclose/Release Protected Health Information
- This form allows an authorized, covered entity to use or disclose the individual’s protected health information (PHI) that is described in the Authorization form for the purpose and to the recipients stated in the form.
Other forms available to patients are:
- Amendment of Records
- A patient has the right to request an amendment to his or her medical record
- Healthcare Proxy
- The New York Health Care Proxy law allows you to appoint someone you trust – for example, a family member or close friend, to make health care decisions for you if you lose the ability to make decisions yourself.