ECMC
462 Grider Street
Buffalo, NY 14215
716-898-3000

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ECMC

How to Request Medical Records

If you need copies of your medical records, just download the Authorization for Release of Information Form, print it out and fill in your information, then send it to:

ECMC
Health Information Management / Medical Correspondence
462 Grider Street
Buffalo, New York 14215

To view the form, you’ll need to have Adobe Reader installed. If you don’t have this program, download it for free here.

In most situations requests will be honored within 6- 10 business days. There’s a small charge for copies for personal use.

Questions about your medical records? Fill out the form below or contact us at (716) 898-3257 or (716) 898-3258 between 8 a.m. and 4 p.m. Monday–Friday.

Please note: This form is not secure. Do not send confidential information using this form.

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