Request Medical Records


If you need copies of your medical records, please download and complete the Authorization for Release of Information Form. (Download PDF »)

Once completed, please mail to:

ECMC Hospital
Health Information Management & Medical Correspondence
462 Grider Street
Buffalo, NY 14215
T: (716) 898-6681 *For medical requests only

For Attorneys or Law Firms, please complete the OCA Form 960.

If you have any further questions about your medical records, or any general questions about ECMC, complete and submit the contact form below and someone will respond in a timely fashion.

    Your Name (required)

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    General InformationMedical Records

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