Reading Hospital Forms
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Patient Request for Information [PDF]
To request a copy of your Reading Hospital medical records for yourself, download this form. -
Authorize a Third Party (English)[PDF]
To authorize a third party to receive a copy of your medical records, download this form. -
Authorize a Third Party (Spanish)[PDF]
Para autorizar a un tercero a recibir una copia de sus registros médicos, descargue este formulario.
Tower Health Medical Group Forms
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THMG Patient Request for Information[PDF]
To request a copy of your Tower Health Medical Group medical records for yourself, download this form. -
THMG Authorize a Third Party (English)[PDF]
To authorize a third party to receive a copy of your medical records from the Tower Health Medical Group, download this form. -
THMG Authorize a Third Party (Spanish)[PDF]
Para autorizar a un tercero a recibir una copia de sus registros médicos de Tower Health Medical Group, descargue este formulario.
Next Steps
Submit your completed form in one of three ways:
- In person:
Records Release Department
5th Avenue Lobby
West Reading Campus
Open Monday through Friday from 8 a.m. to 7 p.m.
Park in the “patient drop-off” parking spaces or use the free valet service, then enter through the 5th Avenue Lobby entrance. - By fax: 484-628-9777
- By mail:
Director of Health Information Management
Reading Hospital
PO Box 16052
Reading, Pennsylvania 19612-6052