How to Make a Request for Your Medical Records To get your medical records, most clinics or facilities will want you to fill out a form. This request form is normally available in the office or can be sent through fax, postal service, or email. If the office does not have a form, you can submit your request in writing. When you make this request, please include: your name, address, date of birth, and phone number. You should get written confirmation that your record has been received. If you don't, call the clinic to find out what needs to be done. Often they will send another copy of the form or ask for additional information before releasing your record. Your health history consists of your past medical experiences including surgeries, hospitalizations, tests, and problems that you have had. It is important that your health history be complete and accurate. Failure to provide accurate information may affect your treatment plan or insurance coverage. Your health history may involve information about: illnesses or injuries you have had, medications you take, any changes or problems you have experienced with your body, etc. The health professional taking care of you should ask you about all of these things when you visit. He or she should also review your medical records from earlier visits if they have not already been done so. It is helpful if you can bring in copies of your medical records from other doctors or facilities where you have been treated in the past.