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Home / Medical Records / Medical Records Request / Contact Us to Request Medical Records

Contact Us to Request Medical Records

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If you have a specific question regarding your medical records, please complete the form below and a representative will contact you shortly. Required fields are marked with *
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IMPORTANT: Please read the following before submitting:

Do not include sensitive personal or healthcare information in the comments section. A Crozer Health representative will contact you to discuss any specifics of your inquiry.

If you have questions for your physician or your healthcare professional, please contact their office directly. Medical personnel do not receive this form.

If this is an emergency, please call 911 or go to your nearest hospital’s emergency room.

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