St. Christopher's Health Information Management Department provides access to medical records for patients, families, and medical professionals. The office is open virtually from 8:30 a.m. to 4:30 p.m., Monday through Friday.
To request a copy of hospital medical records (inpatient, emergency room, same-day surgery, observation records, and outpatient diagnostic records) print the Authorization to Use and Disclose Health Information Form and follow the directions below.
If your child is over the age of 18 or you have been appointed guardian, kindly provide court documents regarding guardianship or power of attorney.
For records regarding follow-up appointments, physician office visits, or specialty visits, please contact those departments directly to obtain medical records.
- Print the Authorization to Use and Disclose Health Information Form and fax to 678-214-3060.
- Send a copy of valid identification (driver's license, passport, etc.).
- Third-party requestors, please fax your request to the same number.
For follow-up questions, please call 215-427-5207.
St. Christopher's Hospital for Children Patient Forms
Print and fill out the forms below related to your request(s).
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Medical Records Request[PDF]
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Solicitud de Registros Médicos[PDF]
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St. Christopher's Pediatric Associates Medical Records Request[PDF]
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St. Christopher's Pediatric Associates Solicitud de Registros Médicos[PDF]
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Request to Amend Protected Health Information - English[PDF]
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Request to Amend Protected Health Information - Spanish[PDF]