How Do I Request Copies of My Medical Records

COVID-19 UPDATE EFFECTIVE JUNE 22, 2020

For the safety of our visitors and employees, we ask the following:
  • All visitors must wear masks.
  • Please observe six foot social distancing guidelines.
  • Only two visitors will be permitted in the Health Information Management Department (Medical Records) at one time.
  • If you are able, print and complete required paperwork prior to visiting the department. Inspira’s Authorization to Disclose Protected Health Information Form can be found here.

*If you are a patient in need of continuation of care records, have your provider fax the request to (856) 221 – 4180.

The request must be on the provider’s letterhead, and include your name, date of birth, and the specific information required for continuation of care (exact dates of service will help expedite the request).

How Do I Request My Medical Records from Inspira?

An Authorization to Disclose Protected Health Information Form from an Inspira facility must be completed and submitted to the Health Information Management Department. A handwritten detailed request from the patient will also be accepted in lieu of the Form. To expedite your request, please contact Medical Records at (856) 641-7581 to ensure all required documentation and information is included with your request.

Mail your request: Include your completed Authorization to Disclose Protected Health Information Form, a copy of government issued photo identification, and copies of any additional required documents to the attention of the Health Information Management Department at one of the below addresses:

In-person request: Present your completed Authorization to Disclose Protected Health Information Form, any additional required documentation, and government issued photo identification to the Health Information Management Department (Medical Records) at one of the below addresses:
  • Inspira Medical Center - Vineland 1505 W. Sherman Ave., Vineland, NJ 08360
  • Inspira Medical Center – Mullica Hill 700 Mullica Hill Road, Mullica Hill NJ 08062
Hours of operation: Monday through Friday, between 8:00 am and 4:00 pm (excluding holidays).

Fax your request: Include your completed Authorization to Disclose Protected Health Information Form, a copy of government issued photo identification, and copies of any additional required documents to the attention of the Health Information Management Department to the following:
Inspira – Health Information Management Department (856) 221 - 4180

Questions?

For further information or questions regarding medical record requests, please contact the Health Information Management Department to assist you at (856) 641-7581.
A fee may be applied for copies of your medical record.