How to Request Your 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:

• $1.02 per page for pages 1-25
• $0.76 per page for pages 26-50
• $0.51 per page for pages 51-100
• $0.30 per page for pages greater than 100

 

• Microfiche or Microfilm: $1.52 per page
• Print of an X-ray: $10.15 per image

 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.

Click here for instructions on completing 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.

Click on the 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 – 5 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
*Record requests are processed at St. Joseph. 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 St.
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 St.
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 St.
Milwaukee, WI
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 Healthcare-Brown Deer records may be obtained through Wheaton Franciscan-St. Joseph.

Wheaton Franciscan-Wisconsin Heart Hospital Campus (download form)
10000 W Blue Mound Rd.
Wauwatosa, WI 53226
Phone: (414) 447-2005 or (414) 447- 3789
Fax: (414) 874-4480
*Record requests are processed at St. Joseph.
If you are picking records up, they will be available at St. Joseph
Monday – Friday
8 am – 5 pm

Wheaton Franciscan Healthare - 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
Racine, WI 53405
Phone: (262) 687-8147
Fax: (262) 687-8060
Hours:
Monday – Friday
8 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)
Please contact the clinic for site-specific information.


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

If you wish to receive medical records from St. Michael Hospital, please download this form.
*Record requests are processed at St. Joseph. If you are picking records up, they will be available at St. Joseph Monday - Friday 8am - 5 pm
Phone: (414) 447-2005 or (414) 447- 3789
Fax: (414) 874-4480

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