- Download, print and complete the authorization form
- 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)
- Place the completed authorization form in an envelope and mail to Medical Records address listed below or fax 248-551-0517.
If you have questions, please contact our Medical Record correspondence clerk at:
Beaumont Hospital, Royal Oak
3601 W. 13 Mile Rd
Royal Oak, MI 48073
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.