Request Medical Records

To request a copy of your medical records, download the Release of Information form (see below) and fax or mail it to the appropriate facility. Please be advised there may be a cost involved for this service.

-Release of Information form
-Release of Information form (Spanish version)

Fax or mail completed form to:
Bon Secours Hospital
2000 West Baltimore Street
Baltimore, Maryland  21223  
Phone:  410-362-3044
Fax: 410-233-2063