How to Request Medical Records
Formerly known as Medical Records, the Health Information Management Department
(HIM) maintains patient medical records.
To get a copy of your ELCH medical record, you must sign an authorization
form from the HIM Department. Only the patient can release his/her records.
However, if you have the power of attorney or are the executor of a patient's
estate, you may submit a request in writing along with a copy of the legal
document stating your role.
You may also write a letter authorizing East Liverpool City Hospital to
release a copy of your records. In the letter, you must state the patient's
name, date of birth, social security number and date(s) of service. You
must sign and date the letter and specify the information to be disclosed.
The letter should also state the name(s) of the person (s) to whom the
information may be released by the HIM Department. The letter must be
signed by the patient on whom the medical record is maintained, or by
a person lawfully authorized to act on the patient's behalf. The letter
of request must be dated.
Please allow one week for the records to be copied. There is a retrieval
fee and a copying charge. Should you have any questions, please contact us at