Authorization to Release Protected Health Information

NYS law requires all health care practitioners and facilities to grant patients access to their medical records (Patients may request information as well as parents or guardians who have authorized their child’s care).

If you want to see your medical records, discuss your request with your doctor and/or with the Director of Health Information Services at the Medical Center. NYS law guarantees you the opportunity to inspect your medical records within 10 days of request. If you want to have a copy of your medical records, you must submit a written request to the Director of Health Information Services at AHMC.

If you request a copy of your records, the Medical Center may charge you up to .75 cents per page. If the Medical Center fails to acknowledge or act on your request, you may lodge a complaint with the local NYS Department of Health Office.

If you have been denied access to all or part of your record, or if you would like more information, call (518) 474-2383 or write to:

Access to Patient Information Center
New York State Department of Health
Division of Public Health
Corning Tower, Room 495
Albany, New York 12237