How to Obtain Copies of Your Medical Records

Copies of records can only be released to the patient, his/her duly assigned representative, or healthcare provider. Proper authorization is required.

To request a copy of your medical records, click and print the authorization form, complete the form, sign and date it.

Fax completed form to 609.853.7051 or mail to: HIM Department, Princeton Medical Center, One Plainsboro Road, Plainsboro, NJ 08536.

If you have any questions, call us at 609.853.7050 or e-mail us at recordrequest@princetonhcs.org. For confidentiality reasons, we do not recommend that you e-mail us your authorization form.

MRO is the company that handles release of medical records for Penn Medicine - Princeton Medical Center. As their partner for Release of Information (ROI), it is our pleasure to serve you!

Please fill out an ROI authorization form completely, and be sure to sign and date it.
The processing time for copies of records is 5-7 business days after receipt of payment, depending on the type of records and the dates of service requested. Federal law permits Penn Medicine - Princeton Medical Center to assess patients a reasonable, cost-based fee for copies of their records (see 45 CFR § 164.524(c)(4)).

Patient requests totaling 10 or more pages will be assessed a cost-based fee if sent by MRO’s National Service Center in Valley Forge, PA.

For copies of your records, you may be assessed a fee based on the following fee schedule:

How the PHI is Maintained Requested Format of PHI Reasonable, Cost-Based Fee
Electronically
Hybrid (Electronic and Paper)
Electronic
(Email or CD-ROM)
Flat fee of $6.50 (inclusive of actual labor, supplies and postage), plus applicable sales tax
Paper or Electronically
Hybrid (Electronic and Paper)
Paper $0.10 per page ($0.08 per page for actual labor and $0.02 per page for supplies), plus applicable postage and sales tax
Paper Electronic
(Email or CD-ROM)
$0.08 per page (actual labor), plus applicable postage and sales tax

Once the records are ready, you will be notified via mail. Please review the invoice for payment information. Payment may be made by check, credit card or money order. Your requested records will then be mailed to you.

Please note, records from another facility contained within the requested records may be released.

Please call 610.994.7500 Ext. 1 to check the status of your request, make a payment or ask any questions.