Request Copy of Your Medical Records
You can request a copy of your medical records if you are a:
  • Parent or legal guardian of a patient under the age of 18
  • Patient under the age of 18 with legal rights to consent for him/herself
  • Patient 18 years and older
  • Legal guardian of a patient 18 years or older with written patient consent
  • Legal guardian of a patient 18 years or older who doesn’t have the capacity to consent

To submit your request, fill out, sign and send the Medical Record Release Authorization Form via fax or mail. Requests are normally processed within 7-10 business days.

Release Or Authorize A Disclosure Of Your Medical Records

New patients can save time during their first appointment by completing the Patient Registration form prior to your visit.

If you have access to a printer, please print, complete and bring these forms to your appointment.
Request Copy of Your Medical Records
You can request a copy of your medical records if you are a:
  • Parent or legal guardian of a patient under the age of 18
  • Patient under the age of 18 with legal rights to consent for him/herself
  • Patient 18 years and older
  • Legal guardian of a patient 18 years or older with written patient consent
  • Legal guardian of a patient 18 years or older who doesn’t have the capacity to consent

To submit your request, fill out, sign and send the Medical Record Release Authorization Form via fax or mail. Requests are normally processed within 7-10 business days.

Release Or Authorize A Disclosure Of Your Medical Records

New patients can save time during their first appointment by completing the Patient Registration form prior to your visit.

If you have access to a printer, please print, complete and bring these forms to your appointment.

All Other Requests

For requests for partial information such as a copy of your or your child’s immunization records, labs, or procedure results, etc., please contact the Medical Records Department.

Privacy

As a part of our effort to provide quality healthcare for the entire family, Bay Community Health is committed to protecting the privacy of our patients, in accordance with the Health Insurance Portability & Accountability Act of 1996 (HIPAA).

Bay Community Health’s Notice of Privacy Practices. This Notice is provided to all patients who receive care at Bay Community Health’s offices. It explains how we may use and disclose a patient’s personal health information. Additionally, the Notice explains a patient’s rights in respect to personal health information, and how a patient can report a suspected privacy protection violation.

If you have any questions about this notice, please contact Ryan Beyer, Privacy Officer and Chief Information Officer at 410-867-4700 ext 143.

All Other Requests

For requests for partial information such as a copy of your or your child’s immunization records, labs, or procedure results, etc., please contact the Medical Records Department.

Privacy

As a part of our effort to provide quality healthcare for the entire family, Bay Community Health is committed to protecting the privacy of our patients, in accordance with the Health Insurance Portability & Accountability Act of 1996 (HIPAA).

Bay Community Health’s Notice of Privacy Practices. This Notice is provided to all patients who receive care at Bay Community Health’s offices. It explains how we may use and disclose a patient’s personal health information. Additionally, the Notice explains a patient’s rights in respect to personal health information, and how a patient can report a suspected privacy protection violation.

If you have any questions about this notice, please contact Ryan Beyer, Privacy Officer and Chief Information Officer at 410-867-4700 ext 143.