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 54303-3282.  Call (920) 433-8172 
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 54303-3282, or attach in the form below. 

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