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Request Your Medical Records

You may request your medical records from Holy Cross Hospital or Holy Cross Germantown Hospital by filling out and submitting an "Authorization for the Release of Medical Information" form. Please print and fill out the authorization form completely.

You may mail or fax the form to the hospital where you were a patient. Medical records from both hospitals can be requested on one authorization form.  Contact information is at the top of the form.


  Holy Cross Hospital
  Holy Cross Germantown Hospital

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