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Release of Health Information

The Health Information Management Department at UM Charles Regional Medical Center maintains hospital medical records for patients treated at the facility. All patient health care information at UM CRMC is confidential. Therefore, medical records cannot be released to any person without the authorization of the patient or the patient’s legally authorized representative (unless authorized by law) and a picture ID.

Requesting Medical Records

All requests for the release of medical records must be submitted in writing and must be dated and signed by the patient or the patient’s legally authorized representative. In the case of a minor, the parents or guardian must sign the authorization.

Submitting a Request

Complete the Medical Records Release and Authorization Form and submit by:

  • Fax: 301-609-4301
       OR
  • Mail:
    UM Charles Regional Medical Center
    5 Garrett Avenue
    La Plata, Maryland 20646
    Attn: Medical Records Correspondence
       OR
  • Hand Deliver:
    Health Information Department
    UM Charles Regional Medical Center
    5 Garrett Avenue
    La Plata, Maryland 20646

Hours

General public

  • Monday–Friday (excluding holidays)
    8:30 am-4:00 pm

Medical and hospital staff

  • Monday–Friday
    7:00 am-4:30 pm
General Information: 301-609-4184

Birth Certificates

The Health Information Management Department is responsible for the submission of a birth certificate worksheet to Department of Maryland Vital Records within 72 hours for all live-born infants delivered at or in route to UM Charles Regional Medical Center. Department of Maryland Vital Records is solely responsible for distributing copies to qualified individuals.