Access your medical information
Step 1: Fill out the authorization form
Please download the authorization form, then fill, date, and sign it. In the form, we ask you to identify which components of your medical records you’d like to receive—but if you’re unsure what you need, the discharge summary, operative report, and history tend to contain the most relevant information.
Step 2: Submit the form
There are a few ways to submit the form.
You can fax it to:
You can email it to: medicalrecords@dickvsclit.com.
Or you can deliver the form to the address below, via mail or in person:
Medical Records Office
York Hospital
15 Hospital Drive
York, ME 03909
Have any questions?
If you have any questions regarding the release of health information, please call