Due to public health concerns related, the Health Information Management
Department is closing the office to the public to eliminate person to
person contact. We understand your medical records are important to you
and want to make this process as smooth as we can during this time.
To expedite your request, please complete the medical record request in
its entirety. If you have questions on how to complete the request, contact
our Health Information Department at
Ways I can I request my Medical records?
- Mail in Requests
- Fax Medical records Request
Where can I send my Medical records Requests?
You may submit the request by mail to:
Attn: Medical Records/ROI
2701 Dekalb Pike
Norristown PA 19401
You may also fax the request to:
You may use the link provided
https://www.suburbanhosp.org/documents/ROI-Authorization.pdf to print a copy of the release of information form. Please complete the
form in its entirety and fax the form to the secured Health Information fax at
What if I am requesting for my Physician and upcoming appointment for continuity of care?
Please have your physician fax request to
610-278-2858 In addition, please note the date needed or appointment date so the request
could be expedited. Please ensure you PRINT the Physician’s Name
clearly and visibly.
When will I / the Third Party receive a copy of my medical record?
Medical record requests are processed within 15 business days from the
date the request is received by
Suburban Community Health
You can also call the Release of Information Department for additional
information regarding obtaining copies:
If you should have any further questions or problems, please contact the
HIM manager at
610-278-2210. Thank you for your understanding during this time.
Health Information and Medical Records
Photocopies of your records are available upon request and shall be released
only with an appropriate patient authorization and/or in accordance with
applicable state and federal laws. This is for compliance with all federal
and state laws, and the purpose is to safeguard your confidentiality.
You may be contacted by a Release of Information Specialist concerning
this request. In order to process your request expeditiously, the following
information needs to be included:
- Patient Name
- Date of Birth
- Date(s) of Service
- Information needed
- Purpose of the request
- Name of individual authorized to receive the information
- Signature of patient, legal guardian or individual authorized by law to
release medical records on behalf of the patient
- Please include a phone number where we can reach you in case there are
questions about your request.
You may use the link provided to print a copy of the release of information
form. Please complete the form in its entirety and fax the form to the
secured Health Information fax at
Please note, if you are aware of any protected information (i.e.. Psychiatric,
Psychological, Drug abuse, alcoholism or HIV infections, you will have
to fill out a special authorization which can be obtained by calling Release
of Information Representative at