Requesting Medical Records

All requests for copies of medical records from Robert Wood Johnson University Hospital (RWJUH) New Brunswick must be made in writing and the request must be signed by the patient or their legal representative.

To request copies of medical records, please download one of the "Authorization to Use and Disclose Health Information" forms below, fill it out, and submit it to RWJUH's Health Information Management department.

• Authorization to Use and Disclose Health Information Form -- English
• Authorization to Use and Disclose Health Information Form -- En Español

To submit the completed form, either:

• Scan and email it to HIMRecordRequests@rwjbh.org
• Submit it in person to the Health Information Management department in the hospital between the hours of 8 a.m. and 4:30 p.m., Monday through Friday

The Health Information Management department will process the request and records will be sent within 30 days of receipt of the request.

Fees

There is no charge to have records sent to your physician if the records are need for continuing medical care.

The fees for records requested by patients vary depending on how they will be delivered:

• Patient Pick Up
  If you will be picking up the records from the Health Information Management office, there is a reproduction fee of $0.07 per page and a supplies fee $0.05 per page for a total of $0.12 per page.
• Receive Records by Mail
  For records mailed to the patient, there is a $0.90 labor cost to create and deliver the portion of the record plus $0.05 per page for paper and toner, plus postage. There is sales tax on shipping where applicable.
• Electronic Delivery
  The fee for records delivered in electronic format is $6.50.

The maxiumum charge allowed for patient medical records is $200.

In accordance with state law and regulations, a patient who does not have the ability to pay is entitled to copies of records without charge upon providing proof of economic need. An abstract can be provided at no cost. The abstract consists of:

• History and Physical
• Discharge Summary
• Lab
• Radiology
• Testing
• Consults

Questions?

For questions about requesting medical records, call (732) 828-3000, x5805, Monday through Friday between 8 a.m. and 4:30 p.m.