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Metro Health

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Obtain Medical Records

Release of Information

Access to Your Medical Record

As a patient of Metro Health, you have the right to obtain your medical records.

Confidentiality of Care

Your medical record will be treated as confidential by all hospital, medical and office staff members. No one may obtain a copy of your record without written consent with the exception of those required by law, transfer of care or third party payor/insurance contract.

How to Submit Requests and Receive Record Copies

To request a copy of your medical records, download, print and complete the Metro Health Authorization Form
Mail or fax your request to the Medical Records Department. Records can be picked up at the Chris and Joan Panopolus Imaging Center or mailed to you. In the event of a medical emergency, records will be faxed directly to a physician or medical facility.

Please note that while most requests can be filled within 14 days of receipt of a release, some requests may require additional time to process.

Records can be released to anyone that the patient authorizes (in writing) to receive such information. A valid authorization MUST contain the following information or the request will be returned:

  • Patient’s full name and date of birth (list any other names the patient may have had)
  • Specific information being requested (e.g. type of report/information) and dates of service
  • Purpose for which the information may be disclosed (insurance, disability, personal use)
  • To whom the information is to be sent (name and address)
  • Specify authorization’s expiration date if desired (see ROI form)
  • The patient’s signature or a patient’s legal representative’s signature Authorizations signed by a representative must include a copy of the guardianship papers power of attorney, or personal representative documents
  • Date of the signature

Certain information requires a special authorization covering sensitive information. This includes psychiatric, drug and/or alcohol abuse, HIV/AIDS, and sexual abuse information. Authorizations for sensitive information must specifically refer to the information that is to be released.

Fees

There may be a fee for copies of your medical record. Please call the Medical Records Department for current fee information.

Contact Information For Requesting Copies of Medical Records:

For medical records from: Mail the Authorization to:
Metro Health Hospital
5900 Byron Center Ave. SW

Wyoming, MI 49519

Metro Health Hospital
Medical Records
P.O. Box 916

Wyoming, MI 49509-0916
Phone # (616) 252-7010
Fax # (616) 252-6965

Metro Health Breton
1925 Breton Road SE
Grand Rapids, MI 49506
Metro Health Breton
Medical Records
1925 Breton Road SE
Grand Rapids, MI 49506
Phone # (616) 252-4100
Fax # (616) 252-4953
Metro Health Cascade
4300 Cascade
Grand Rapids, MI 49546
Metro Health Cascade
Medical Records
4300 Cascade
Grand Rapids, MI 49546
Phone # (616) 252-1500
Fax # (616) 252-1599
Metro Health Comstock Park
4200 North Division
Comstock Park, MI 49321
Metro Health Comstock Park
Medical Records
4200 North Division
Comstock Park, MI 49321
Phone # (616) 252-1600
Fax # (616) 252-1666
Metro Health Caledonia
8941 North Rodgers Court
Caledonia, MI 49316
Metro Health Caledonia
Medical Records
8941 North Rodgers Court
Caledonia, MI 49316
Phone # (616) 252-5500
TOLL FREE: (877) 244-2865
Fax # (616) 252-5390
Metro Health Cedar Springs
14211 White Creek Road
Cedar Springs, MI 49319
Metro Health Cedar Springs
Medical Records
14211 White Creek Road
Cedar Springs, MI 49319
Phone # (616) 252-6320
(616) 696-6320 from Cedar Springs
Fax # (616) 696-6360
Metro Health Hudsonville
3912 32nd Ave.
Hudsonville, MI 49426
Metro Health Hudsonville
Medical Records
3912 32nd Ave.
Hudsonville, MI 49426
Phone # (616) 252-8700
Fax # (616) 696-6360
Metro Health Jenison
7686 Georgetown Center Drive
Jenison, MI 49428
Metro Health Jenison
Medical Records
7686 Georgetown Center Drive
Jenison, MI 49428
Phone # (616) 252-8600
Fax # (616) 252-8660
Metro Health Lowell
l2550 West Main Street
Lowell, MI 49331
Metro Health Lowell
Medical Records
2550 West Main Street
Lowell, MI 49331
Phone # (616) 252-5600
Fax # (616) 252-5660
Metro Health Rockford
4685 Belding Road
Rockford, MI 49341
Metro Health Rockford
Medical Records
4685 Belding Road
Rockford, MI 49341
Phone # (616) 252-3100
Fax # (616) 252-3120
Metro Health Southwest
2215 – 44th Street
Wyoming, MI 49509
Metro Health Southwest
Medical Records
2215 – 44th Street
Wyoming, MI 49509
Phone # (616) 252-8300
Fax # (616) 252-8393
Metro Health Wayland
893 East Superior
Wayland, MI 49348
Metro Health Wayland
Medical Records
893 East Superior
Wayland, MI 49348
Phone # (269) 792-6263
Fax # (269) 792-6268
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