Skip to main content

Medical records 

Do you use MyGeisinger (MyChart)?

Log in now to request your medical records

Request records

Don’t have a MyGeisinger (MyChart) account? Request records online

Request records through our fast, secure online form.* Photo ID required.

Start electronic request

Mail a hard copy form

Request your records by downloading the forms below:

  1. Download Patient Access Request form (PDF)
  2. Download directions on how to complete and submit the form (PDF)
  3. Complete and sign the form
  4. Fax or mail the form to Geisinger at:

Health Information Management Release of Medical Information
100 N. Academy Ave.
Danville, PA 17822-1311
Fax: 570-214-9523

Send my records to someone else (ex. caregiver, school, etc.)

  1. Download Authorization to Release Medical Information form (PDF)
  2. Download directions on how to complete and submit the form (PDF)
  3. Complete and sign the form
  4. Fax or mail the form to Geisinger at:

Health Information Management Release of Medical Information
100 N. Academy Ave.,
Danville, PA 17822-1311
Fax: 570-214-9523

  For Geisinger Marworth Treatment Center patients

  Authorization for release of medical records

  Patient access request form

Need help requesting your medical records? Call 570-271-6319. 

*You'll be securely redirected to our trusted partner, MRO, to complete your request.

Content from General Links with modal content