Skip Ribbon Commands
Skip to main content
Sign In
Patients & Visitors Medical Record Request

Medical Record Request

​​​​​SSM Health St. Mary's Hospital - Janesville is committed to protecting your privacy and confidentiality. The Health Information Management Department maintains SSM Health St. Mary's patient health care records. We also review all requests for copies before processing. ​​

How to Obtain a Copy of a Birth Certificate

SSM Health St. Mary's does not have copies of birth certificates. To obtain a copy of a birth certificate for an individual who was born in Wisconsin, you must request a copy from the state of Wisconsin Department of Health & Family Services, Office of Vital Records. Receive additional details about how you can request a birth certificate. 

You may also dial 608-266-1371 for automated assistance 24 hours a day, or 608-266-1373 from 8 am to 4:15 pm (CST) Monday through Friday for the service counter.​​​​​​​

How to Obtain Copies of Medical Records

In order to obtain copies of your medical records, you are required to fill out an "Authorization for Information" form. You may download the PDF file of the Authorization for Information form below, or you may call to request this form by calling the Health Information Management Department at 608-373-8060.

We require the patient or legal guardian to complete an authorization prior to mailing copies of records. The original records are kept at SSM Health St. Mary's. You may request copies of your records at any time.

Authorization for Information

A separate authorization is required for each request. Download the PDF file by clicking​ here​. 

Copy Fees

For current information about copy fees, please contact the Health Information Management Department at 608-373-8060.

Turnaround Time

Please expect a turnaround time of 10 - 14 business days for your request to be processed.​​

For more information, please contact the Health Information Management Department at SSM Health St. Mary's at 608-258-6328. ​