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Request For Medical Records

The Chester County Hospital requires that requests for medical records be in writing. The request may be by a personal letter, or by filling out The Chester County Hospital's Authorization of the Release of Information that you can print out on your computer from the Hospital's website, or you/your child may come to our department in person.

If your child is 18 year of age or older, they must sign the form themselves. Also, we keep records for seven years, with exception to minors that we keep up to their age of 25.

If you/your child send a letter, it is to contain the date(s) of service needed, list the records that are needed, birth date, name printed and signed.

To get the form from our website, please take the following steps:

Our address is:
The Chester County Hospital and Health System
Medical Records Department
701 E. Marshall Street
West Chester, PA 19380

If the medical record is being requested for your own personal use, the charges are:

  • $1.42 per page for the first 20 pages
  • $1.05 per page for the next 40 pages
  • $.34 per page for any pages 61 or more

Please include your own address where it says "Name of Person Institution".

If the records are to go to another doctor, to an insurance company or to a lawyer, etc., the name of that person/company would be entered.

PLEASE NOTE: If the records are being requested to go to another doctor, please call Kathy Pavlik to find out if that doctor is on staff here at the Hospital. Doctors on staff have computer access to their patients' medical records if they are treated here at The Chester County Hospital.

For follow-up purposes, please call Kathy Pavlik at 610.431.5678, hours are 8:00 am-4:30 pm, Monday through Friday.

Last Updated: 2/13/2013