Contact The Medical Records Offices -
Hospital Offices
Monday - Friday (Closed Weekends)
8AM - 4:30PM (local time zones)
Closed for Lunch: 11AM - 12PM (local time zones)
For more information, call 610-994-7500, Option 1.
Provider Offices
Hospital and Physician Office Fees
| Request Type | Purpose | Fee |
| Patient | Continuation of Care | No Charge |
| Patient | Personal Use | Flat fee of $6.50 (inclusive of actual labor, supplies and postage), plus applicable sales tax |
| All Other Requests | State Rates |
Authorization Request Forms
Completed hospital authorization forms can be sent to hospitalmedicalrecordrequest@franciscanalliance.org.
Completed physician office authorization forms can be sent to physicianofficemedicalrecordrequest@franciscanalliance.org.
Franciscan Health Hospital Form
Release or Use of Medical Health Information
Franciscan Physician Network Form
Physician Office - Release or Use of Patient Health Information