For Patients at Frederick Health
Obtaining Medical Records
Maryland Law specifies that a request for any patient medical record must be in writing and must become a part of the person's medical record. The medical records department protects the confidentiality of all patient information and will only release a patient's medical record with the proper consent.
If a physician involved in your care needs a copy of your medical record, the medical records department can forward a copy to that physician with your consent. For purposes other than treatment, requests for copies of records are handled on a case by case basis utilizing state and federal guidelines for the proper release of patient information.
For more information, contact us at 240-566-3300.
CLICK HERE to access the Frederick Health Patient Portal.
Release of Medical Records
To request the release of medical records, either for a patient’s own use or for transfer to another healthcare provider, the patient (or their legal representative) can visit MediCopy.net/ROI or provide authorization by submitting a signed copy of the Authorization to Release Medical Information Form.
Third-Party Requesters: To request medical records please visit
MediCopy.net/ThirdPartyRequesters
Authorization to Release Medical Information Form (English)
Authorization to Release Medical Information Form (Spanish)
Frederick Health CommonWell opt-out form
Email requests cannot be accepted. A faxed copy of the authorization form can be accepted. Photo ID of the patient or legal representative must be presented at the time of pick-up.
Send the request to the appropriate addresses below, noting that the facility name should be labeled as 'Frederick Health':
Health Information Management Department (Medical Records)
Frederick Health
1 Frederick Health Way
Frederick, MD 21701
Phone:
240-566-3444 l Fax: 240-566-3634
Hours: M-F 8 a.m. - 4:30 p.m. (closed holidays & weekends)
Radiology Department
Frederick Health
400 West 7th Street
Frederick, MD 21701
Phone:
240-566-3420 l Fax: 240-566-3255
Release of Diagnostic Images (X-Ray)
To obtain a copy of your diagnostic imaging records (x-rays), mammograms, sonograms, CT, etc., an Authorization to Release Diagnostic Images form must be completed and signed by the patient or their legal representative. If someone other than the patient will be picking up the requested information, the patient must indicate the name and relationship on the Authorization form under the Special Designee section along with a note from the patient giving the designee permission to pick up their imaging.
Submitting a Request
Copies of Frederick Health imaging (Imaging that was performed at Frederick Health Hospital and Frederick Health Urgent Care facilities only) can be provided by walk-in at the Medical Record Department at the Frederick Health Village location between the hours of 8:00 a.m. - 3:30 p.m. Monday-Friday.
Please bring a photo ID to obtain your images. Your written authorization is requested in order for another individual to obtain copies of your images. We do not prepare imaging releases ahead of time. Frederick Health Imaging no longer releases images at the Rosehill or Crestwood locations (these are now Community Radiology facilities).
We no longer release images at the Frederick Health Hospital location. Please pick up at the following location:
Frederick Health Village
1 Frederick Health Way
Frederick, MD 21701
Mail - If mailing the
Authorization to Release Diagnostic Images request, please mail to the address below with a copy of your ID:
Frederick Health Hospital
ATTN: Imaging Department
400 West 7th Street
Frederick, MD 21701
Processing Fees
There is no fee for x-ray or imaging studies for follow-up treatment with your physician. However, there may be a fee for non-treatment related requests as permitted under the Annotated Code of Maryland, Health General, §4-304(c)(3)(ii), and the Health Insurance Portability & Accountability Act (HIPAA).
Special Subpoena Requests
Subpoenas for patient medical records must include the name of the patient, the date of birth, and the dates of service. All subpoenas must fully comply with federal and Maryland laws concerning the disclosure of personal information. Please note Frederick Memorial Hospital, Inc. formally changed its name in September of 2019 to Frederick Health Hospital, Inc. The subpoena should be served on the Custodian of Records and addressed as follows:
Frederick Health Medical Group – (Medical Group services only)
Frederick Health Hospital – (Hospital services only)
Frederick Health Hospital and Frederick Health medical Group – (for both medical group and hospital services)
For Billing & Medical Records:
Frederick Health Village
1 Frederick Health Way
Frederick, MD 21701