Medical Records

To request a copy of your medical records from our Medical Records Department, download and complete the Medical Records Release Form. Once completed, attach it to the online form below, or mail to: Medical Records Department 1726 Shawano Ave., Green Bay, WI 54303.  Call (920) 459-4657
for more information.
 

Step 1

Download and complete the Medical Records Release Form.

Download

Step 2

Submit your completed Medical Records Release Form via mail at Medical Records Department 1726 Shawano Ave., Green Bay, WI 54303, or attach in the form below.