Medical Records
How can I request copies of my medical records?
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.
Completed authorization forms can be dropped off in person at Erlanger or submitted by postal mail, fax, or email:
Erlanger Health System
Attention: Health Information Management
975 E. Third St.
Chattanooga, TN 37403
Fax: 423-778-4157
Email: [email protected]
CLICK HERE for our fee sheet for obtaining copies of medical records
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.