Authorization Release Form

The information contained in the patient's medical record is confidential. All requests for release of medical records information must be accompanied by an authorization form and signed by the patient. The form must have an original signature.

Access your Medical Records

STEP 1: Complete the Authorization Release Form

STEP 2: Submit Request (Authorization Release Form)

Please mail, fax or deliver in person your authorization release form to:

  • Mail/Hand Deliver:
    University of Maryland St. Joseph Medical Center
    Department of Health Information Management
    7601 Osler Drive
    Towson, Maryland 21204
  • Fax:
    Monday - Friday
    8:00 a.m. - 4:30 p.m.: 410-427-2328 (for emergency patient care only)
    After normal business hours: Please call 410-337-1167 before faxing a request.

STEP 3: Receive Invoice

When you receive your invoice please mail or deliver your payment (with the remittance portion of the invoice) to the address specified on your invoice

  • Fees: Payment is required before medical record information is released. You will be charged Base Charge + Per Page Charge: $0.76 per page

STEP 4: Receive Records

You should receive your records within 21 business days of receipt of your payment. If you do not receive your records within 21 days, please call 410-337-1169 to reach an ROI technician.

Medical Record Retention Policy

The University of Maryland St. Joseph Medical Center (UM SJMC) retains hospital based medical records in accordance with Federal and Maryland State Laws and regulations. Medical records shall be retained for no less than 10 years, with exception of the following:

  • Adult records (age 18+) will be retained for 10 years post creation
  • Minors' records will be retained until the age of majority plus 10 years.
  • Perinatal records must be retained 23 years after birth of child

Other Functions of the HIM Department

  • Record Retrieval
  • Record Analysis
  • Coding
  • Clinical Documentation Improvement
  • Transcription Support
  • Correspondence

Contact Us

How to Contact the Health Information Management Department (Medical Records)

Location:

1st Floor, Main Hospital Building
7601 Osler Drive
Towson, Maryland 21204

  • Release of Information/Correspondence
    Monday - Friday 8:00 a.m. – 4:30 p.m. - 410-337-1169
  • Hospital Inquiries
    For billing or any other questions in relation to billing sent to you, please call 410-821-4140.
  • For General Information
    We are open 5 days a week from 8:00 a.m. - 4:30 p.m., for general information, please contact us at 410-337-1167.
  • For emergency patient care requests after normal business hours, please call 410-337- 1167.