Letterhead Requests
Submit a request for medical records on your letterhead using one of the below methods:
- Submit via fax to 219-845-7139
- Submit via email to MedicalRecords@FranciscanAlliance.org
- Submit via US mail to:
- Franciscan Health Medical Records
8111 S Emerson Avenue
Indianapolis, IN 46237
- Franciscan Health Medical Records
Authorization Form
If you prefer to use an authorization form to request medical records, please complete and submit the Release of Information to Third Party Authorization Form.