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Request a Copy of Your Medical Records

Patients of Lourdes Health System have a right to access or request a copy of their medical records.

Lourdes Health System is concerned about the privacy and security of medical records information and has policies in place to protect patients from unauthorized release of personal health information. These policies are for your protection and are consistent with relevant governmental regulations.

Those privacy regulations include the Health Insurance Portability and Privacy Act (HIPAA), which went into effect on April 13, 2003. In our effort to comply with these regulations, we must require that everyone who requests medical records information submit an authorization for copies and/or access to patient medical records using Lourdes Health System Medical Center’s “Authorization for Release of Health Information” form.

Please click on the link to download the form, print it out, complete it, and mail to the hospital where the patient was seen.

Our Lady of Lourdes Medical Center
1600 Haddon Avenue
Camden, NJ 08103
(856)757-3557
Lourdes Medical Center of Burlington County
218A Sunset Road
Willingboro, NJ 08046
(609) 835-3074

DOWNLOAD THE MEDICAL RECORDS RELEASE FORM

Please note that once the form is received, it takes 3 to 5 business days for processing.

 

 

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