Reinventing healthcare one patient at a time

Medical Records Release

Ellis has partnered with MRO, the industry leader in medical record management, to securely and confidentially manage patients medical records. 

Ellis Medicine protects the use and confidentiality of your medical record.  By completing the forms below with your signature, you can securely access your medical record and your request will be processed.

Steps to Release Your Medical Records
  1. Download the following forms:
    Authorization for Release of Information
    Patient Request for Access to Health Information
  2. Complete forms with your signature
  3. Send completed forms to:
    Ellis Hospital
    Attn: Health Information Services
    1101 Nott Street
    Schenectady, NY 12308