Medical Records

Medical and Billing Record Release Forms

Use this form when requesting transfer of your medical and billing records to or from another provider or to obtain a copy of your records:

• TriHealth Hospitals & Physician Practices Authorization for Disclosure of PHI (PDF)
• **TriHealth Corporate Health Authorization for Disclosure of PHI (PDF)

Requests for hospital/physician office records should be directed to the facility you were treated at. Requests for Corporate Health records should be directed to **TriHealth Corporate Health. Contact information is listed below.

**TriHealth Corporate Health includes TriHealth EAP® (counseling), Executive Health, TriHealth occupational medicine centers, on-site employer occupational medicine, medical and wellness services, and mobile health and wellness unit.

Other Medical Record Inquiries

If you have general medical record questions that cannot be answered by your physician practice or care team, our online contact form can be used for other medical record inquiries.

For other forms, please go to Patient Forms.