Your Medical Records

Henry Ford Health is dedicated to collecting, maintaining, and providing quality health information. We are committed to assuring that accurate patient information is available to our customers in an efficient manner, while protecting the confidentiality and security of that information.

For your safety and the safety of others Henry Ford Health Release of Information Offices are now offering virtual options for requesting and receiving your medical records.

Access your medical records online

Henry Ford Health MyChart allows you to review portions of your medical/surgical history including lab results, test results, current immunizations, provider notes. It is free to use, completely secure, and available 24 hours a day.

You may also request the remaining portions of your medical records through MyChart. The records will be uploaded to the patient’s MyChart account within 2 business days.

If you do not have a MyChart account, you can create one by clicking the sign-up link below.

Sign up for MyChart

MyChart Assistance

Phone: (313) 876-7951
Email: [email protected]


Obtaining Copies of Your Medical Records

Medical records can be released to the patient or anyone that the patient authorizes by completing the Patient Information Release Authorization. It may take 7-10 business days to process your request. There may be a fee charged for your medical records.

Request Electronically

To request your medical record electronically you must have your valid e-mail address, cell phone and driver’s license or government issued photo i.d. available to verify your identity.

Request Medical Records

Print An Authorization Form

Please send the completed and signed authorization to the Henry Ford Health Information Department:

Email: [email protected]
Fax: (313) 916-3917
Mail: Henry Ford Health Information Department
1414 E Maple Road
Troy, MI 48083

The authorization MUST contain the following information, or the request will be returned:

  • Patient's full name, date of birth, address, phone number (include any previous names)
  • To whom the information is to be sent (name and address)
  • Specific information being requested (e.g., location of treatment, provider name, type of report/information and dates of service, etc.)
  • Signature of the patient or the patient's legal representative. Authorizations signed by a representative must contain a copy of the guardianship papers or power of attorney
  • Date of the signature

Release Form

Release Form - Spanish


Birth and Death Certificates

To obtain a copy of a birth or death certificate contact the county clerk’s office in the county the birth or death occurred or from the Michigan Department of Health and Human Services.

MI Department of Health and Human Services Contact Information:


Assistance

Please contact the Health Information Management department.
Monday – Friday: 7:30 a.m. – 5:00 p.m.
Henry Ford Health: (313) 916-4540
Henry Ford Allegiance Health: (517) 205-4936

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