Medical Records
You now have several options if you need to request a copy of your health information (medical record). Trinity Health Mid-Atlantic now offers a secure form to submit your request online.
You can also download and complete an authorization form to submit via email, fax or by mail.
Mercy Fitzgerald, Mercy Philadelphia and Nazareth Hospital
Please complete the HIPAA compliant authorization form and e-mail to: mercysepa@mrocorp.com. You can also make your request in writing by submitting the form to:
Mercy Fitzgerald Hospital
Health Information Management Department
1500 Lansdowne Avenue
Darby, Pennsylvania 19023
Tel: 610.237.4884
Nazareth Hospital
Health Information Management Department
2601 Holme Avenue
Philadelphia, Pennsylvania 19152
Tel: 215.335.6090
Once the authorization is received, the records will be processed in the order received and SECURE emailed to the recipient named on the authorization. Please include a valid phone number in case we need to contact you.
If you have any questions, please contact the HIM Department.
Saint Francis Hospital
Please complete the HIPAA compliant authorization form and e-mail to: StFrancisHospitalDE@mrocorp.com or fax to: 844.472.0598. You can also make your request in writing by submitting the form to:
Saint Francis Hospital
Health Information Management Department
701 North Clayton Street
Wilmington, Delaware 19805
Tel: 610.994.7500
Once the authorization is received, the records will be processed in the order received and SECURE emailed to the recipient named on the authorization. Please include a valid phone number in case we need to contact you.
If you have any questions, please contact the HIM Department.
St. Mary Medical Center
Please complete the HIPAA compliant authorization form and e-mail to: StMarysPA@mrocorp.com. You can also make your request in writing by submitting the form to:
St. Mary Medical Center
Health Information Management Department
1201 Langhorne-Newtown Road
Langhorne, Pennsylvania 19047
Tel: 215.710.2084
For your convenience, you can download and print the authorization form and fax when complete to Health Information Management at 215.710.5822.