Patients Records – Medical Record Requests

Obtaining a copy of your Western Maryland Health System medical record is easy. To start your request, simply download, print, complete and sign the following forms and fax or mail them back to us, attention Medical Records Department. Please be sure to sign the forms. Unsigned requests cannot be processed.

Our fax number is 240-964-8447.

Click here for the Authorization Form

Our mailing address is:

Medical Records Department

Western Maryland Health System

12500 Willowbrook Road, SE, PO Box 539

Cumberland, Maryland 21502

Your request will be processed and fulfilled within ten working days. We will either mail your copy to the address specified on the following authorization form, or you may pick up your copy from our offices located in the Outpatient Registration area of the Western Maryland Regional Medical Center between the hours of 1 p.m. to 4 p.m., Monday through Friday. All other times need to be pre-arranged by the department.

There is 73¢ per page copying fee. We will let you know by mail or telephone how much the total charge will be once we retrieve your records from our archives. You may pay the charge by mail (to the address above) or in person, if you wish to pick up your copy in person.

Should you wish to contact the Medical Records Department, you may call 240-960-8485.

  • Authorization for Use or Disclosure of Health Information
  • Request for an Accounting of Disclosures of Health Information
  • Request for Special Restriction on Use or Disclosure of Protected Health Information
  • Request to Amend Protected Health Information

Frequently Asked Questions

  • How may I request a copy of my medical records?
  • Where are you located?
  • What is your mailing address?
  • What are your phone and fax numbers?
  • Is there a charge for copies?
  • May my spouse request and receive copies of my medical record?
  • What are your hours of operation?
  • When may I expect to receive my copy?
  • Will you fax the copies to my home or office?
  • Will you mail the copies or will I have to pick them up?
  • How long do you keep medical records?
  • How may I request copies of records from my last doctor visit?
  • Can you explain the charges on my bill?
  • May I obtain a copy of my x-ray films from you?
  • How do I request a copy of my birth certificate?

How may I request a copy of my medical records?

Download, print, complete and sign the Authorization for Use or Disclosure of Health Information and return it via fax or mail to Western Maryland Health System, attention Medical Records Department. Please note that unsigned requests will not be processed.

Where are you located? What is your mailing address? What are your phone and fax numbers?

Medical Records Department

Western Maryland Health System

12500 Willowbrook Road, SE

P.O. Box 539

Cumberland, Md. 21501-0539

Phone: 240-964-8485

Fax: 240-964-8447

Is there a charge for copies?

Yes. We will charge a 69¢ per page copying fee. We will let you know how much the total cost to provide you with the requested records will be after we have an opportunity to retrieve your medical record.May my spouse request and receive copies of my medical record?No. Another person may not receive copies of your medical record without consent from authorizing the Medical Center to release copies to him or her.

What are your hours of operation?

We are open from 8 a.m. to 4 p.m. EST, Monday through Friday and closed on national holidays. Arrangements can be made to pick up records outside of these hours for special circumstances.

When may I expect to receive my copy?

Because of the large number of requests we receive daily, it may take up to 10 working days to fulfill your request.

Will you fax the copies to my home or office?

No. We cannot fax medical records due to confidentiality issues.

Will you mail the copies or will I have to pick them up?

We can mail the copies to the address you specify on the authorization form, or you may pick them up during our hours of operation.

How long do you keep medical records?

Adult medical records are kept for 7 years. The records of patients who were 18 years or less at the time of treatment are kept for 25 years. Female (new moms) delivery medical records are also kept 25 years.

How may I request copies of records from my last doctor visit?

Contact your physician’s office for assistance. We do not keep private physician office medical records.

Can you explain the charges on my bill?

No. Please contact our Billing Office

May I obtain a copy of my x-ray films from you?

Yes. Please contact Radiology at 301-723-5011.

How do I request a copy of my birth certificate?

Western Maryland Regional Hospital Center does not keep birth certificates for those patients born at the Hospital Center. You may request a copy through the local Health Department 301-759-5002 or Vital Records in Baltimore, Md. 410-764-3038.

Click on the link below to order a birth certificate copy:

http://vsa.maryland.gov/html/birth.cfm