Release Of Information

Health-Records

RELEASE OF INFORMATION

The health information management department is here to assist you in obtaining your health-related information. In order to protect your privacy, Marlette Regional Hospital will only release medical records to the person receiving treatment or their legal representative in accordance with federal laws.

Access Your Health Records Online
Marlette Regional Hospital offers patients convenient and secure websites to view personal health information.

For hospital services such as laboratory testing, diagnostic imaging, emergency visits, etc., please use the My Record of Health portal by clicking here.

If you are a patient at one of our five family health care offices including: Family HealthCare of Brown City, Kingston Family HealthCare, Marlette Family HealthCare, Mayville Family HealthCare, and North Branch Family HealthCare, please use the HealthCare Support Portal by clicking here.

If you have not signed up for either one of these portals, you will be offered an opportunity to sign up at your next visit to the MRH emergency room, during your in-patient admission, or visit at our family health care offices. You can also sign up in the MRH health information management department.

How to Request Health Records In Person
Please bring the following items with you when you make your request to our health information management department:

  • A completed and signed Authorization for Release of Information form. This document can be downloaded here. The form must be filled out completely and signed by the patient or the patient’s legal representative. The signature of the patient’s representative must be witnessed by someone over the age of 18.
  • A copy of driver’s license or photo ID.
  • Legal representative must bring legal documents attesting to their authority.

If you are sending someone to pick up your records on your behalf, you must provide the person’s name on the Authorization for Release of Information form.  The designated individual will need to bring their photo ID with them.

Please allow 5 business days for your health records to be released.

Contact Health Information Management
Office Location: Across from the Marlette Regional Hospital Administration Office (use Seton entrance).
Office Hours: Monday through Friday, 7 a.m. – 4:30 p.m.
Phone: 989-635-4214
Fax: 989-635-4234

If you are unable to come to the department, please visit patient administrative services located at the front lobby of the hospital. They will contact health information management to meet you in the front lobby.