Health Information Management

Release of Information

Patients have the right to:

  • Access or inspect their health record
  • Obtain a copy from their healthcare provider – reasonable fees may be charged for copying

Records are released in accordance to HIPAA, New York State and federal laws.

Medical record requests are processed within 30 days and may incur a charge. There is no charge for medical record requests for continuity of care that are sent to another provider.

To receive copies of your or your children's records you must first sign a release of information giving us permission to release the records. Once 18, a person must sign for his or her own records.

Patients Requesting their Medical Records

Please complete the Patient Access form for the appropriate hospital, which you can find on the ROI Forms page. You can also submit a simple letter stating the information below. Please mail or fax these requests to the appropriate hospital (information below).

  • Your name and date of birth
  • What records you are requesting
  • Where to send the records (name, address, and phone number)
  • Your contact information should we have a question about the request (phone number and address)
  • Sign and date the letter

Non-Patients Requesting Medical Records

Please complete the SH48 form for the appropriate hospital or an OCA 960 form (both forms can be found on the ROI Forms page). All requests need to be mailed or faxed to F.F. Thompson Hospital (information on sidebar).

Checking Status of a Request

If you have requested records through Release of Information and it has been at least 10 days since you sent in the request, please contact our HIM Department (585) 919-3849.

Contact Info

If you have any questions, please contact us:

Thompson Hospital
Health Information Management
Release of Information
350 Parrish St.
Canandaigua, NY 14424
Phone: (585) 919-3849
Fax: (585) 396-6719

Mon.-Fri. 9 am - 4 pm