Request Medical Records

How to Request Medical Records from Roswell Park

Download the Authorization to Release Medical Information from Roswell Park

Download and print form. Once completed, return to us via mail or fax:

Roswell Park Comprehensive Cancer Center
c/o Health Information Management
Carlton Building Rm 107
Buffalo, NY 14263
FAX: 716-845-8394

Requests will be processed in 7-10 days of receipt. Please note there may be a copy charge.

How to Release Medical Records to Roswell Park

To authorize a request for your medical records to be released to Roswell Park, please download and complete the form below and return it to us via mail or fax to new patient scheduling at 716-845-3592.

Download Authorization Form to Release Medical Record Information to Roswell Park