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Overlook Medical Center: The Patient Experience
To request a copy of a medical record or radiology images from Overlook Medical Center's Health Record Services Department, begin by printing a HIPAA-compliant authorization form – available in English or Spanish.
Complete the entire form, taking note of the following information:
Mail or fax the completed form to:
Attention: Health Record Services/ROI
99 Beauvoir Avenue
Summit, NJ 07901
Once the form is received, an invoice for the associated fee or a status letter will be sent to the requestor’s address. There is no charge for your record if it is faxed or mailed to a physician’s office or health care facility, however, you are charged the following fees personal copies:
If your request requires a fee, please send payment as soon as possible to the department. Upon receipt, the medical record copy will be available for pick up or mailed within 30 days.