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
Download the following forms:
Authorization for Release of Information
Patient Request for Access to Health Information
Complete forms with your signature
Send completed forms to:
Attn: Health Information Services
1101 Nott Street
Schenectady, NY 12308