Request Medical Records | Wheaton Franciscan Healthcare - Wheaton Franciscan Healthcare

Skip to Content

Request Medical Records

To request copies of your medical records, please print and fill out the Authorization to View/Disclose Health Information.

Once you have completed this form, you may: 

  • Drop it off: Authorization to View/Disclose Health Information forms are accepted during business hours. Please bring a photo ID when dropping off this form.
  • Mail: Authorization forms may be mailed to the address listed below. Please include a copy of a photo ID or include a notarized signature.
  • We are unable to accept authorizations via e-mail due to state and federal laws.

Requests are usually completed within one week but may be delayed if your medical record is not available. Requests may be completed in less than one week if the request is for a medical need.

In accordance with Wisconsin law, the fees charged to patients to cover the costs of copying are as follows (as of July 1, 2014):

  • $1.06 per page for pages 1-25
  • $0.78 per page for pages 26-50
  • $0.53 per page for pages 51-100
  • $0.31 per page for pages greater than 100
  • $1.55 per page for microfiche or microfilm
  • $10.47 for print of X-ray image
  • $20.96 for retrieval of copies
  • $8.38 for certification of copies
  • Actual shipping costs and any applicable taxes

Upon payment, copies of medical records will be mailed or may be picked up during regular business hours. A photo ID is required when picking up copies of medical records.

View instructions on how to complete the authorization form.

Making an Appointment to View Your Medical Records

An appointment to view your medical records can be arranged by calling the Release of Information Area (Medical Records) at a specific hospital or clinic. These site-specific numbers are listed below. Appointments are scheduled as soon as possible, but may be delayed if your record is not available.

Select a facility below to download an AUTHORIZATION TO VIEW/DISCLOSE HEALTH INFORMATION form.

Wheaton Franciscan Healthcare - All Saints

Download Form

3801 Spring Street
Racine, WI 53405
Phone: 262-687-4388
Fax: 262-687-4108
Hours: Monday – Friday: 8 am – 4:30 pm

1320 Wisconsin Avenue
Racine, WI 53403
Phone: 262-687-2798
Fax: 262-687-2494
Hours: Monday – Friday: 7:30 am – 4 pm

Wheaton Franciscan - Elmbrook Memorial Campus

Download Form

19333 W. North Avenue
Brookfield, WI 53045
Phone: 262-785-2064
Fax: 414-874-4480 
Hours: Monday – Friday: 8 am – 4:30 pm

Please Note: Record requests are processed at Wheaton Franciscan - St. Joseph Campus. If you want to pick the records up at Elmbrook, please note that on the request form.

Wheaton Franciscan Healthcare - Franklin

Download Form

10101 S. 27th Street
Franklin, WI 53132
Phone: 414-325-5065
Fax: 414-325-5066
Hours: Monday – Friday: 8 am – 4:30 pm

Wheaton Franciscan Healthcare - St. Francis

Download Form

3237 South 16th Street
Milwaukee, WI 53215
Phone: 414-647-5358
Fax: 414-647-5869
Hours: Monday – Friday: 8 am – 5 pm

Wheaton Franciscan - St. Joseph Campus

Download Form

5000 W. Chambers Street
Milwaukee, WI 53210
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday – Friday: 8 am – 5 pm

Please Note: Records from Wheaton Franciscan - Brown Deer Campus may be obtained through Wheaton Franciscan - St. Joseph Campus.

Wheaton Franciscan - Midwest Spine and Orthopedic Hospital and Wisconsin Heart Hospital Campus

Download Form

10000 W. Bluemound Road
Wauwatosa, WI 53226
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday – Friday: 8 am – 5 pm

Please Note: Record requests are processed at Wheaton Franciscan - St. Joseph Campus. If you are picking records up, they will be available at St. Joseph

Wheaton Franciscan Healthcare - Franciscan Woods

Download Form

19525 W. North Avenue
Brookfield, WI. 53045
Phone: 262-780-3829
Fax: 262-780-3805

Wheaton Franciscan Medical Group in Racine County

Download Form

3807 Spring Street (Lower Level)
Racine, WI 53405
Phone: 262-687-8147
Fax: 262-687-8060
Hours: Monday – Friday: 7 am – 4:30 pm

Midwest Orthopedic Specialty Hospital

Download Form

10101 S. 27th Street
Franklin, WI 53130
Phone: 414-817-3965
Fax: 414-325-5066
Hours: Monday – Friday: 8 am – 4:30 pm

Wheaton Franciscan Medical Group in Milwaukee & Waukesha Counties

Download Form

For clinics located in Brookfield, Brown Deer, Glendale, Milwaukee, New Berlin, Pewaukee, Sussex, Waukesha, Wauwatosa and West Allis, please contact:

201 N. Mayfair Road, 2nd Floor
Wauwatosa, WI 53226
Phone: 414-256-1926

For clinics located in Cudahy, Franklin, Greenfield, Hales Corners, Oak Creek and St. Francis, please contact:

9969 S. 27th Street
Franklin, WI 53132
Phone: 414-325-5099

Wheaton Franciscan Medical Group Provider Correspondence Unit in Racine County

Download Form

3807 Spring Street
Racine, WI 53405
Phone: 262-687-8408
Fax: 262-687-8179
Hours: Monday - Friday: 8 am - 4:30 pm

St. Michael Hospital

Download Form

Wheaton Franciscan  - St. Joseph Campus
5000 W. Chambers Street
Milwaukee, WI 53210
Phone: 414-447-2005 or 414-447-3789
Fax: 414-874-4480
Hours: Monday - Friday: 8am - 5 pm

Please Note: Record requests are processed at Wheaton Franciscan - St. Joseph Campus. If you are picking records up, they will be available at St. Joseph.

As a patient of Wheaton Franciscan Healthcare, you have the right, consistent with laws and regulations, to see and receive a copy of health information about yourself.

Patients also have the right to request amendments to their medical records. Please complete the Request for Amendment Form and submit to the facility that created the information.

Subscribe to Our eNewsletters

Subscribe to our eNewsletters

GET HEALTH CONTENT AS UNIQUE AS YOU ARE. FREE!

SIGN UP TODAY >
For Health Care Professionals
Our Corporate Office
  • Wheaton Franciscan Healthcare
  • 400 W. River Woods Parkway
  • Glendale, WI 53212
  • 414-465-3000
  • Contact Us
Follow Wheaton
  • @wheatonfwi