Health Information Management

The Health Information Management Department at Grand View Health protects the confidentiality of your medical records while allowing your healthcare providers to deliver consistent quality care.

Requesting Your Medical Record

To request your medical records, you need to complete our Patient Authorization for Release form. You can find the form for download here or request one at any of our Outpatient Centers. Once you’ve completed the Patient Authorization for Release form, there are four ways you can send it to us:

  • By mail – mail the completed form to:

Grand View Health – H.I.M. Department
Attn: Correspondence
700 Lawn Avenue,  Sellersville, PA 18960

  • By fax – send the completed form to 215-453-4341
  • By email – scan the completed form and email it to us at him [at] gvh [dot] org
  • By phone – calling the Health Information Management Department at 215-453-4850.

Authorization Signature for Your Records

The following people are authorized to sign for the release of your health information:

  • Yourself (Not your Spouse)
  • A parent if the patient is under 18 years of age
  • A minor, age 14-17 years, receiving psychiatric, drug/alcohol services, or who has a child
  • Both parents and minor if the patient is age 12-17 years and receiving drug/alcohol services
  • Legal Guardian (must provide proof of guardianship)
  • Power of Attorney if patient is unable to sign. (the Power of Attorney documentation must be presented)
  • Executor/representative of estate for deceased patient and a copy of a “short form” death certificate presented. (must provide proof of Executorship)

Receiving Your Requested Health Information

Medical records are mailed (not faxed) about 7-10 business days from the date that the signed request is received. If you need your records immediately or want to pick them up in person, please call 215-453-4850. All individuals who pick up medical records in person are required to present their photo identification.

If you wish to have your records sent to another health care facility other than the ordering facility or a Grand View affiliate, you will need to complete a Patient Authorization for Release form with the receiving health care facilities information on it as the disclosed party.


If you request records other than for continued care, we require payment prior to the records being released. Please provide contact information on Patient Authorization for Release form and someone will contact you with the total due for records. If we are unable to contact you via telephone, a prepay invoice will be sent to the address listed on the Patient Authorization for Release form. Once payment is received, we will mail the records or records can be picked up at the Health Information Management Department. Payments can be made by Credit Card or Check. Please make all checks payable to “IOD” . Fees for medical records are state regulated. For more information, please refer to the fee schedule.

For answers to Frequently Asked Questions about health information, click here

Contact Us
Grand View Health Information Management Department
700 Lawn Avenue,  Sellersville, PA 18960
Telephone: 215-453-4850  Fax: 215-453-4341
Email us.
Department Hours: Monday – Friday: 8:00 am – 5:00 pm