Request 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, fax or email the form to the hospital where you were a patient. Medical records from both hospitals can be requested on one authorization form. 

• Download our Authorization for the Release of Medical Information form
  

• Download our Authorization for the Release of Medical Information form in Spanish
  

• Self-register for the MyHolyCrossHealth Patient Portal
  

Contact information:

• Holy Cross Hospital Medical Records Department: Phone: (301) 754-7180 | Fax: (301) 754-7175 
• Holy Cross Germantown Hospital Medical Records Department: Phone: (301) 557- 6180 | Fax: (301) 557-5551
• Email completed authorization forms to HIMReleaseofInfo@holycrosshealth.org