
	Live Chat by LivePerson

At Lenox Hill Radiology our highly trained staff are pleased to provide our patients with quick delivery of reports and films per their preference of CD, fax, mail, email or in person. Due to new federal regulations (HIPAA) we cannot release your information (reports and films) without your written permission.
If you would like to make a request for your medical records, please download the form below and fax it to 212-772-0468 or you can call us to request this form at 212-772-3111, then press 5.

Request Medical Records	This form is in PDF format, which can be downloaded, then opened using Adobe Acrobat Reader. Many computers have this software installed already. If you do not have Acrobat installed on your computer please click on the Acrobat Reader icon to download this free software.

In order to properly process your request for images, we ask for the following patient information: patient's full name, social security number, date of birth, type(s) of studies needed, and the dates they were performed. It is essential you provide us with this information to protect your privacy and to ensure that you receive the correct results, information cannot be released unless the form is completely filled out, including correct contact information, specific dates of service, and properly signed and dated.

If you have any questions about our MEDICAL RECORDS RELEASE FORM, please contact our medical records department at 212-772-3111, then press 5.
You can submit any other questions or concerns regarding your medical records below. Please supply your email address and we will respond within the next business day.