How to Request Your Records
- You may download a form authorizing Settlement Health to release your health information, available here.
- Complete the information on the form, indicate the records you are requesting and the specific date of your visit. Sign the form.
- Form may be dropped off in person, faxed or mailed it to the address below:
Settlement Health Attention: HIM Manager
212 East 106th Street
New York, NY 10029
FAX: 646-619-8446 (e-fax)
Requests for records will take approximately 5-10 business days to process.The requestor must be the patient or patient’s guardian/legal representative. There is no cost to send copies directly to another health care provider. If copies are for patient’s personal use, photocopying fee will be assessed.
If you have questions regarding the release of your confidential patient information, please feel free to contact the Health Information Department at 212-360-2646.
Click here for more information on accessing your health information online via the patient portal.