To request copies of medical records please download and complete the Authorization to Release Information and mail or fax it to: SLCH Medical Records Department, Attn: Infotrak, 70 Dubois Street, Newburgh, NY 12550;
fax (845) 568-2917.

A copy of the Patient’s Photo ID (Parent/Guardian’s photo ID for a minor) must be attached to completed Authorization to Release Information form.

Your request will take five to 10 days to process. You will be charged $.75 per page for copies. The copy fee will be waived if you request your records be sent directly to a health care provider.

Please note that while New York State Law requires us to keep medical records for only six years, we do have many records that are much older. We would be happy to make a search once we receive your authorization. If you have any questions please call (845) 568-2520.