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. Patients of our primary care centers should choose the hospital affiliated with the office visited from the list below.
- Kenmore Mercy Hospital
- Mercy Hospital of Buffalo
- Our Lady of Victory Hospital
- Mount St. Mary’s Hospital
- Mount St. Mary’s Neighborhood Health Center
- Mount St. Mary’s Health Center Lewiston
- Mount St. Mary’s Primary Care Lewiston
- Mount St. Mary’s Health Center Lockport
- Lockport Memorial Hospital
- Niagara Ambulatory Campus
- Sisters of Charity Hospital
- Sisters Health Center D’Youville
- Mercy Comprehensive Care Center
- St. Vincent Health Center
- Ken-Ton FamilyCare Center
- 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.
