To avoid delays, please review the applicable form carefully and complete all sections. We help you request your medical records, get driving directions, find contact numbers, and read independent reviews. Include a copy of our ID or Driver's License, and fax or mail it back to us, attention "Release of Information, Health Information Department (Medical Records)." The responsibility lies with the requester to prove he or she is legally able to authorize the release of records. Authorization for Disclosure of Protected Health Information, Click here to download the "Authorization for Disclosure of Protected Health Information" in Spanish, {{ limitBy===6? Austin boy receives care at Dell Children's twice for rare leukemia, Heart surgeons at Dell Children's repair baby's heart with three surgeries, A pediatricians role and how to choose one for your family. Fax: (518) 841-7497, St. Marys Healthcare Health Information Management Department Alternatively, you can bring a copy of the patients valid photo ID to Saint Marys Hospital 235 W. Sixth Street in Reno, NV. Langhorne, Pennsylvania 19047. Medical Records Department. //