Medical records
Send my records to someone else (ex. caregiver, school, etc.)
- Download Authorization to Release Medical Information form (PDF)
- Download directions on how to complete and submit the form (PDF)
- Complete and sign the form
- Fax or mail the form to Geisinger at:
Health Information Management Release of Medical Information
100 N. Academy Ave.,
Danville, PA 17822-1311
Fax: 570-214-9523
If you require assistance requesting your medical records,
contact our Health Information Management team at 570-271-6319
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