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To request a copy of a medical record from a hospital, call or write to the hospital holding the record. You must speak to the Medical Records Department and request a release of medical information authorization form from the hospital. If the hospital does not respond to this request within a timely manner, you can file a complaint with the NYS Department of Health Hospital complaints. Complaints can be made by phone or mail to: New York State Department of Health
Centralized Hospital Intake Program
433 River Street, 6th floor
Troy, New York 12180 You can get assistance with getting records from hospitals that have gone out of business by calling
(800) 804-5447. For more information or to download complaint forms, visit www.health.state.ny.us
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