The Health Information Management Department at Newton Medical Center keeps patient health information records.
To obtain a copy of your records, you must submit by mail or in person a signed copy of the Authorization for Release of Information Form. State and federal regulations require a release to be signed before information can be released.
Authorization for Release of Information Form
Autorización para la Divulgación de Información
If you cannot download this form, please call 973-579-8365 and request to have a copy sent to you. Please include your name, date of birth and address. By law, no information can be released unless the form is completely filled out, including specific dates of service, and properly signed and dated.
If you are requesting material containing sensitive information, such as mental health, drug or alcohol abuse records, you will need to circle or document specifically what kind of records you are requesting. To obtain a copy of your X-ray films, please contact the Department of Radiology at 973-579-8720.
Once the department receives the Authorization for Release of Information Form, it could take up to 30 business days for the record to be photocopied and mailed. There is no charge for continuum of care, however, for other purposes there may be a copying fee.