Request Medical Records
To obtain a copy of medical records, please download the applicable form:
- Medical records released to patients/parents/legal guardians: Request for Medical Records Patient or Personal Representative.
- Medical records released to a third party: Authorization to Release Protected Health Information.
Return the signed authorization form by fax, mail or in person.
- Fax: 410-578-0567
- Mail or in person:
Mt. Washington Pediatric Hospital
Attention: Health Information Management Department, 3rd floor
1708 W. Rogers Ave.
Baltimore, MD 21209
- Mt. Washington Pediatric Hospital
Please note that there may be a charge for copying this information.
A photo ID is required when picking up records. Please note that only a patient or patient representative may pick up records, unless specified in writing.
Please call the Health Management Department at 410-578-2657 between 7:30 am and 4 pm if you have any questions.