Due to public health concerns related to 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 215-785-9476.
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
Lower Bucks Hospital
501 Bath Road
Bristol PA 19007
You may also fax the request to:215-785-9783
What if I am requesting for my Physician and upcoming appointment for continuity of care?
Please have your physician fax request to 215-785-9783 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 Lower Bucks Hospital
You can also call the Release of Information Department for additional information regarding obtaining copies: 215-785-9476
If you should have any further questions or problems, please contact the HIM manager at 215-785-9476. 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 Authorization to Disclose Health Information form. Please complete the form in its entirety and fax the form to the secured Health Information fax at 215-785-9783.