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Providence strongly encourages patients to transfer their medical records to their health care providers in preparation for Providence’s closure on December 14, 2018. This is an important step to ensure that your providers have a full understanding of your health history when they treat you.

Please note that you will need to transfer your records even if you are staying with your existing provider, as he or she will no longer be employed by Providence.

Patients that need to request a copy of their medical records will be required to complete an AUTHORIZATION FOR DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI).  This form may be printed off the Providence website located under Health Information Management (HIM), Release of Information (ROI). 

The form must be filled out and signed.  You may mail the completed form to:   Providence Hospital, Attention: Release of Information 1150 Varnum Street, NE Washington DC 20017.  You may also fax your request to 202-854-7931.  If you have questions regarding release of medical records or need to check on the status of a request, please call 202-854-5525.  Thank you.

If you choose not to transfer your records, they will be maintained in accordance with Providence’s medical record procedures. If you would like to obtain your medical records after December 14 2018, or if you have any other questions we may help you with, please call 202-854-5525 and a staff member will gladly assist you.

If you have questions regarding release of medical records or need to check on the status of a request, please call 202-854-5525.

Click here to download the form.

Main hospital Phone: (202) 854 7000

Providence Hospital, 1150 Varnum Street, N.E. Washington, DC 20017 2180