Request Medical Records

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Request for Access or Copy of Patient’s Medical Record

The Health Information Management Department is glad to assist you with obtaining a copy of medical records from The Lindner Center of HOPE.

We need permission to process your request. Complete the Authorization for Release of Patient Protected Health Information form. 

  • For fastest service, choose Secure E-Mail for the Disclosure Method in section #5 on the form.

Send the form to us.

  • For fastest service, email the authorization form to us.
    • Email:  [email protected]
    • Fax:     (513) 536-0219
    • Mail:
      Lindner Center of HOPE
      Health Information Management
      4075 Old Western Row Road.
      Mason, Ohio 45040

Please allow 3-5 business days for a response to your request.

We do not have medical records for patients treated in the Cincinnati Children’s Hospital Medical Center Adolescent (CCHMC) care units at the Lindner Center of HOPE.    Please contact Cincinnati Children’s.  Phone (513) 636-4217 or fax (513) 636-6729.