To request a copy of your medical records, please download and complete the form "Request for the Use and Disclosure of Protected Health Information."

This form can be mailed or faxed to:

UM Baltimore Washington Medical Center
Attention: Health Information Management
301 Hospital Drive
Glen Burnie MD 21061
Phone: 410-787-4372
Fax: 410-595-1997

You will be contacted within 30 days when your medical records are ready. A photo ID must be presented if medical records are picked up in person. Medical records may be mailed once you submit a copy of your photo ID, the signature can be validated based on previous medical record documentation, and the charge for the copy of the medical record has been authorized by the requester. There will be a reasonable fee charged for the costs of preparing the medical record.

The Health Information Management Department is located on the third floor of the medical center in the North Building and can be reached at 410-787-4372.

See additional contact information for another Health Information Management department within the University of Maryland Medical System.