Request Medical Records

Medical records are maintained by Health Information Management (HIM) at Cherry Health. As a patient of Cherry Health, you have the right to obtain your medical records.

What’s in your Medical Record?

  • Results of all laboratory tests, X-rays, other diagnostic studies, and medical treatment you received while you were a patient
  • Physician reports from examinations, treatment and medications
  • Observations by nurses and other members of your health care team

Confidentiality of Care

Your medical record is treated as confidential by all hospital, medical and office staff members. No one may obtain a copy of your records without written consent except those required by law, transfer of care or third party payor/insurance contract.

How to Submit Requests and Receive Copies

To request a copy of your medical records:

  • For third parties (health care providers, insurance, attorneys, etc.): Download, print and complete the Release of Information Authorization form. Once completed you may fax or mail your request to the location below.
  • For personal use (this is only for patients to obtain their own information): Download, print and complete the Patient Request for Health Information form. Once completed you may fax or mail your request to the location below.

Is There a Charge?

There is a charge for copies for personal use. There is no charge for copies sent directly to healthcare organizations and/or physician offices. Both state and federal law (HIPAA) permit healthcare organizations to charge a reasonable cost-based fee for reproducing records.

  • Electronically transmitted………………………….$6.50
  • CD without postage………………………………..$6.50
  • CD with postage……………………………………$11.50

*Rates above reflect pricing for patients.

Payment is due at the time of pick-up or prior to record transmission.

For More Information

Please fax or mail your completed forms to:

Cherry Health
Attention: Health Information Management
201 Sheldon Blvd. NE
Grand Rapids, MI 49503

Phone: 616.965.8282, option 2
Fax: 616.940.5367