Medical Record Request
To obtain copies of your medical records, you may print the “Authorization to Obtain or Share Medical Information” form and send it to us via:
- Fax: 410-601-9576 and mark it to the attention of Kathy Bibo.
- Email: Email requests must include a scan of the filled out form and be emailed to firstname.lastname@example.org.
- Mail: Kathy Bibo, Attn: Medical Record Request, Rubin Institute for Advanced Orthopedics, Sinai Hospital, 2401 West Belvedere Avenue, Baltimore MD 21215.
Please allow 7-10 business days for your records to be copied. Please complete the authorization form, include all information requested and be specific as to dates of service or the types of reports needed. Patients over 18 years old must sign this themselves unless they have been deemed incompetent to do so. Please make sure to have someone fill out the witness line.
If the record is being released directly to your private physician or another health care facility, there is no charge associated with copying your records. However, if you request copies to be released to yourself or others, there are photocopying charge of $.76 per page.