fax other
Health information management / medical records release — HSS
212-774-7364
HIM forms (amendment, disclosure accounting, restriction, proxy access).
Published emailHIM forms (amendment, disclosure accounting, restriction, proxy access).
Published hours9:00 am–5:00 pm, Monday–Friday
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New York
Not researched for this route
Records requests are made online or with the authorization form; the email and fax (alternate fax 212-606-1859) are listed for amendment, accounting of disclosures, restrictions, proxy access and Care Everywhere consent forms. Radiology images have separate faxes.
View source ↗ · Source checked 2026-10-24
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