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975 East Third Street
Chattanooga, TN 37403
423-778-7000
Children's Hospital at Erlanger Erlanger Baroness Campus Erlanger Bledsoe Campus Erlanger East Campus Erlanger North Campus UT Erlanger Physicians Group





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Medical Records

How may I obtain copies of my health information?

An Authorization to Release Information Form is required for any use or disclosure of Protected Health Information (PHI) that is not covered under treatment, payment, or health care operations (EHS business practices).  The form is attached on this website.  An authorization must be received from the patient before any PHI is used or disclosed with the exception of information used or disclosed for treatment, payment, or health care operations.  When a valid authorization for use or disclosure of PHI is received, the information must be disclosed only to the individual or entity specified in the authorization and for the purpose authorized.

Please mail the authorization to:

Erlanger Health System
Attention: Health Information Management
975 E. Third St.
Chattanooga, TN 37403  

Who may sign an authorization?

The patient must sign the authorization unless the patient is a minor or declared physically or mentally incompetent.  If the patient is a minor, one of the patient’s parents would sign the authorization.  If the patient is mentally or physically incompetent, the patient’s legal guardian would sign the authorization and provide a copy of the Durable Power of Attorney.  If requesting records on a deceased patient, the executor of the patient’s estate or surviving spouse should sign the authorization.  

How can my doctor obtain my health information?

Your doctor may contact our department at (423) 778-4185 or fax a request to (423) 778-4157 and request your information for treatment. To request the x-ray film, your doctor should contact (423) 778-7251. 

How can I obtain a copy of my birth certificate?

Birth Certificates are maintained by the Hamilton County Health Department. The phone number for Vital Records is (423) 209-8025. The State of Tennessee Department of Vital Records may also be contacted. The state website is www.tennessee.gov.

If you have additional questions regarding your health information, please contact our Health Information Management Department at (423) 778-7267.

An Authorization to Release Information Form is required for any use or disclosure of Protected Health Information (PHI) that is not covered under treatment, payment, or health care operations (EHS business practices).  The form is attached on this website.  An authorization must be received from the patient before any PHI is used or disclosed with the exception of information used or disclosed for treatment, payment, or health care operations.  When a valid authorization for use or disclosure of PHI is received, the information must be disclosed only to the individual or entity specified in the authorization and for the purpose authorized.

Please mail the authorization to:

Erlanger Health System
Attention: Health Information Management
975 E. Third St.
Chattanooga, TN 37403  

If you have additional questions regarding your health information, please contact our Health Information Management Department at (423) 778-7267.

Download a Release of Medical Information form (English and Spanish on same form):
 Consent Form (381 Kb pdf)
 Fee sheet for copies of medical records (45 Kb pdf)

Please mail the authorization to:
Erlanger Health System
Attention: Health Information Management
975 E. Third St.
Chattanooga, TN 37403