Requesting Medical Records

The best way to request medical records from a hospital in the Albany Med Health System is to use your MyChart account. Sign up now or log in.

If you do not go through MyChart, you can also fill out the form below. Be sure to download the form to sign and date it and email it to your hospital (as listed below).

Authorization to Disclose Protected Medical Information Form (PDF)

Autorización para Revelar Información Médica Protegida (PDF)

Request Records of a Deceased or Incapacitated Patient

A family member or patient representative can request medical records for a deceased patient. To request records, you can:

Option 1

Complete the Authorization to Disclose Medical Information form. En Espanol, Autorización para Revelar Información Médica Protegida.
Obtain a letter of testamentary (sealed surrogate letter) from the courts designating the administrator or executor

Option 2

Complete the Authorization to Disclose Medical Information form (PDF). En Espanol, Autorización para revelar Información Médica Protegida (PDF).
Complete a signed/notarized Affadavit (PDF). En Espanol, Declaracíon Jurada de Condición de Heredero (PDF).
Obtain an original copy of the death certificate
- A copy of the death certificate will only be required to verify death if the patient did not expire at an Albany Med Health System facility
If the patient is incapacitated, or unable to sign for him/herself, the patient representative must show proof of relationship to the patient so that we can determine authority to request the records.

For more information contact us via telephone or email (see information below)

Requesting a Change to your Medical Record

If you believe there is an error in your medical record, the first step should be to send a MyChart message to your provider explaining your concerns. If your provider agrees, they may edit the notes to correct the error. If your provider does not change the notes and you still feel that something is not correct, you may file a formal request to amend your record.

Patient Amendment Request Form (PDF)

Formulario de Solicitud de Modificación del Paciente (PDF)

The only person who can change information in your medical record is the author of the note. Health Information Management team members cannot. Therefore, we must get in touch with the author and request that they make the changes. You can expect an answer between 60 and 90 days. Once the amendment process has been completed, if you are unsatisfied with the outcome, you can contact the Albany Med Health System corporate compliance office.