Request Medical Records
Please see below for information on how to request medical records, birth certificates, or certificates of still birth.
Access to medical records requires the patient's authorization. If the patient is deceased, an authorization form must be completed by the executor of the estate and sent with a copy of the patient's death certificate.
Authorization forms can be downloaded by clicking on the hospital name below. If you are a patient at one of our primary care centers, choose the hospital of which the primary care center is a department. The hospital will be listed on the primary care center's page on our website (primary care locations).
- Kenmore Mercy Hospital
- Mercy Hospital of Buffalo
- Mount St. Mary's Hospital
- Our Lady of Victory Hospital (Send to Mercy Hospital)
- Sisters of Charity Hospital
- Sisters of Charity Hospital - St. Joseph Campus
Please note that if records are requested from a Catholic Health facility, there may be a fee involved. If the request is sent directly to your medical provider, there should be no charge.
Your birth records are kept in the Clerk's Office in the municipality in which you were born.
Born at Kenmore Mercy Hospital
Town of Tonawanda Clerk’s Office
Municipal Building – Room 14
2919 Delaware Avenue
Kenmore, NY 14217
Born at Our Lady of Victory Hospital
Lackawanna City Clerk’s Office
Lackawanna City Hall
714 Ridge Road
Lackawanna, NY 14218
Born at Sisters of Charity Hospital - St. Joseph Campus
Town of Cheektowaga Clerk’s Office
Cheektowaga, NY 14227
On March 21, 2012, New York State passed a bill that allows parents of still birth babies to apply for a Certificate of Still Birth. Click here for information on how to apply.