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Hospital Campus (518) 842-1900   •   Memorial Campus (518) 842-3100
 
Hospital Campus (518) 842-1900   •   Memorial Campus (518) 842-3100
 
Hospital Campus (518) 842-1900  •  Memorial Campus (518) 842-3100
 
Hospital Campus (518) 842-1900
Memorial Campus (518) 842-3100
 
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March 24, 2017
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How to Obtain copies of Medical Records from St. Mary's Healthcare

A written authorization is required for the release of records. The authorization must be mailed or submitted in person Monday through Friday between 7:30 a.m. and to 4:00 p.m. If in person, picture identification is required.

Click here for the Authorization Form

You may mail or take it in person to either of these two locations:

St. Mary’s Healthcare – Medical Records Department (Main Campus)
427 Guy Park Avenue
Amsterdam, NY 12010
   (518) 841-7110

St. Mary’s Healthcare – Medical Records Department (Memorial Campus)
4988 State Hwy. 30
Amsterdam, NY 12010
   (518) 841-3404

Guidelines for Signatures

  1. The patient, if eighteen years of age or older, or, if under eighteen, is emancipated or married.
  2. The guardian of a patient in a minority (i.e., under eighteen years of age if legally appointed. Proof of guardianship is required.
  3. The parent having custody of the patient, if the patient is less than eighteen years of age, is unmarried, and is under parental control.
  4. If a person is less than eighteen years of age, is unmarried and is not in the custody of a parent or legal guardian and is a neglected child, then by the agency of which the child has been made a ward of the Juvenile Court.
  5. If the patient is found incompetent for a reason or reasons other than minority, then by the court-appointed guardian; or, if he has been committed to institution, then by the superintendent of such institution; the personal representative (executor or administrator) of the deceased patient's estate; or, if there is no personal representative, the spouse, or if none, an adult child.
  6. The appointed health care representative, provided that evidence of such appointment is received which describes the personal representative's to act for the individual.

NOTE: If information concerns a minor treated primarily for drug and/or alcohol abuse, consent need only be given by the minor.

Note: Copying fees consist of .75 per page. If these records are going to a physician's office for follow-up care, there is no fee when they are sent from our office.

Emergency

  Emergency Department
(518) 841-7237
  Urgent Care
(518) 841-3600
Amsterdam
(518) 773-7710
Gloversville
(518) 770-7818
St. Johnsville
  Mental Health Hotline
(518) 842-9111
  Addiction Crisis Services
(518) 842-9111
Please remember that dialing 911 from your phone will allow trained operators to connect you directly and immediately with assistance that is appropriate to your situation.

Emergency

  Emergency Department
(518) 841-7237
  Urgent Care
(518) 841-3600
Amsterdam
(518) 773-7710
Gloversville
(518) 770-7818
St. Johnsville
  Mental Health Hotline
(518) 842-9111
  Addiction Crisis Services
(518) 842-9111
Please remember that dialing 911 from your phone will allow trained operators to connect you directly and immediately with assistance that is appropriate to your situation.

Ways to Give

  • Donate TodayDonate +

    Affect lives for years to come
  • Attend Our EventsEvents +

    Participate in St Mary's events as a way of giving
  • Plan a GiftGift +

    Make an impact immediately
  • Volunteer NowVolunteer +

    Become a part of our community
  • 1

Ways to Give

  • Donate TodayDonate +

    Affect lives for years to come
  • Attend Our EventsEvents +

    Participate in St Mary's events as a way of giving
  • Plan a GiftGift +

    Make an impact immediately
  • Volunteer NowVolunteer +

    Become a part of our community
  • 1