Medical Records
Our Medical Records Department maintains the confidentiality of the records of thousands of patients. These records document lab and imaging reports, emergency visits, inpatient and surgical stays, and all other procedures the patient has while at our facility.
You can request a copy of medical records for:
- yourself
- your child (under the age of 18)
- an individual whom you are their legal guardian
Make a Request Online
It's fast and easy to request your medical records online. Fill out a brief request form.
Make A Request by Phone, Mail or In Person
We ask that you make your request 24 to 48 hours in advance. A fee may be charged.
Requesting your records will change depending on where you were a patient. You may fill out and print request forms in advance, sign it by hand and submit the documents via fax, scan then email, or in person.
Please contact the medical services department at your respective location for specific instructions:
| Location | Phone Number | Release Form |
|---|---|---|
| Trinity Health Saint Mary's – Grand Rapids (English) | 616-685-6166 | (PDF, 70KB) |
| Trinity Health Saint Mary's – Grand Rapids(Spanish) | 616-685-6166 | (PDF, 106KB) |
| Trinity Health Medical Group (English) | 616-685-3180 | (PDF, 70KB) |
| Trinity Health Medical Group (Spanish) | 616-685-3180 | (PDF, 98KB) |
To obtain a deceased patient's medical records, please download these instructions and Personal Representative Statement form (PDF, 74KB) or en Español (PDF, 45KB).
| Location | Phone Number | Release Form |
|---|---|---|
| Trinity Health Grand Haven | 616-844-4512 | (PDF, 7MB) |
Please contact your primary care physician's office to obtain your medical records.
| Location | Phone Number |
|---|---|
| Trinity Health Shelby Campus | 231-861-3011 |
| Trinity Health Muskegon Campus | 231-672-3934 |
If you are requesting a copy of your own medical records for yourself or to be sent to someone other than yourself, please complete the Authorization for Use or Disclosure of Health Information (PDF, 213KB).
If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 213KB) above and mail to:
Trinity Health Ann Arbor
Health Information Management
P.O. Box 995
Ann Arbor, MI 48106
If you are requesting a copy of your own medical records, please complete the Patient Request for Medical Records Form (PDF, 213KB).
If you are requesting a copy of your own medical records to be sent to someone other than yourself, please complete the Authorization for Use or Disclosure of Health Information (PDF, 106KB).
If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 106KB) and mail to:
Chelsea Hospital
Health Information Management
775 South Main St.
Chelsea, MI 48118
If you are requesting a copy of your own medical records, or records to be sent to someone other than yourself, please complete the Authorization for Use or Disclosure of Health Information (PDF, 164KB).
If you are requesting medical records for an individual of whom you are their legal guardian, please provide copies of guardianship papers along with the Authorization for Disclosure of Patient Health Information (PDF, 164KB) and mail to:
Trinity Health Oakland
ATT: Medical Records
44405 Woodward Ave.
Pontiac, MI, 48341
Birth Certificates and Death Certificates
For Washtenaw County residents, Birth and Death certificates can be obtained from the Washtenaw County Clerk's Office.