Medical Records

Request a copy of your medical records

You may visit the medical record pick-up window at any of our 8 hospitals or mail or fax your request. See below for mailing and fax information.  

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 313-593-8437.
   

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 248-471-8508.

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 313-473-1186.

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

You can come to the HIM to sign an authorization form or pick up copies of records. Patients who are picking up their medical records can park in the visitor parking deck just outside the main entrance.

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 248-551-0517.

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

You can come to medical records pick-up window located at the South Tower Entrance to sign an authorization form or pick up copies of records. See the entrance attendant at the South Tower Entrance for parking directions.

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 248-964-2030.
4. Please call ahead to make arrangements for picking up your medical records.

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

They should see the Valet attendant and will be directed to a short term parking area.

1. Download, print and complete the authorization form
2. Complete all highlighted areas. Be sure to specify the dates of service and type of information needed (i.e., ER report from 6/10/06 visit)
3. Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 734-467-4674.

Questions
If you have questions, please contact our Medical Record correspondence clerk at:

Amending Health Information

You have the right to request a change, amendment, or correction to certain parts of your health information that Beaumont Health maintains.

Please complete all sections on the Request to Amend Health Information and either mail, email or fax as indicated on the form.