Option #1 – Submit Your Request Online

Note: This electronic form is for medical records requests only.

Request Records

Option #2 – Submit Your Request via PDF

To complete a physical request form, download, print, and fill out the appropriate PDF below.

Medical Records Request PDF forms

Print and fill out this form to request a copy of your medical records from Tower Health at Home.

To Submit a PDF Request

After you complete a PDF request form, submit your form in one of three ways:

  1. In person:
    Tower Health at Home
    739 Reading Avenue
    West Reading, PA 19611
    Open Monday through Friday from 8 a.m. to 4:30 p.m.
    Park in the side lot and use the entrance under the gray stone. Contact numbers posted to request entry.
  2. By fax: 610-685-0191
  3. By mail:
    Medical Records Department
    Tower Health at Home
    PO Box 16052
    Reading, PA 19612