Medical Records Release

If you would like to have Elk Regional Health Center obtain or release confidential information related to your medical care, please click the link below to download our Authorization for Release of Protected Health Information form.

You can print the form at home, fill it out and return it to us by mailing it to:
Health Information Management
Elk Regional Health Center
763 Johnsonburg Road
St. Marys, PA 15857

If you have questions about how to fill this form out, you can call the correspondence secretary at (814) 788-8597.

Download The Form

How to complete an authorization