Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
How to Request Your Medical Records
You can request paper copies of your medical record or radiology images from the Fletcher Allen Health Information Office by following the instructions below.
To Request Your Medical Record
If you are requesting copies of your medical record, please print out the authorization to release patient information form and fax, mail or bring it to your physician's office. The contact information for the physician's office will appear on the document.
To Request Radiology Images
If you are requesting copies of your radiology images, such as x-rays, CT scans or MRI films, please contact the Imaging Library at 802-847-2354.
To Access Your Medical Record Online
Portions of your medical record are available through MyHealth Online, a new feature of our electronic health record. You also may print the medical record information available on MyHealth Online. Learn more about MyHealth Online or request an account.
Additional Information on Requesting Your Medical Records
If you have any questions, please contact the Fletcher Allen Health Information Office (Medical Records Office), Monday-Friday, 8:00 am - 4:30 pm at 802-847-2846.
If you have an emergent issue arising during normal business hours, call your physician's office.
If the records you are requesting totals 1-25 pages your records will be mailed with a bill, however if the records are over 25 pages you will receive a pre-bill from the copy service that will need to be paid before the reproduction of the records. If you are transferring your care out of the Fletcher Allen network, and request copies of your records to be sent to your new provider, there will be a charge for the reproduction of those records. A flat rate of $5.00 for the first one to 10 pages will be charged, if over 10 pages the charge is .50 cents per page. If you have any questions, please call 802-847-2846, between the hours of 8:00 a.m. and 4:30 p.m. Monday to Friday.
DISCLAIMER: Incomplete or preliminary information from the medical record will only be released in urgent or emergent situations and only for patient care. For all other requests, the medical records must be in a completed status before any information will be released. Any exceptions to this rule need to be authorized by a member of the management in the Health Information Management Department (HIM) or Case Management.
|Authorization to Release Patient Information||Download PDF|
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