Request Form
To access your records, download and complete form below. Your request may take up to two weeks to process.
AUTHORIZATION FOR RELEASE OF PROTECTED HEALTH INFORMATION
Medical Records Contact
Questions: Request 610-861-8080 ex. 36100
Mailing Address:
Medical Records Department,
3435 Winchester Road, 2nd Floor, Allentown, PA 18104
Fax Number: 610-841-5834
