Pascack Valley Medical Center and Pascack Valley Medical Group offer the following individuals the ability to request electronic medical records easily online through the MyChart patient portal or our online request platform:
View your patient medical record securely from your computer or mobile device through MyChart. Once logged in to MyChart, go to Menu > Document Center > Requested Records > Click to send a request for records and complete the form. Click below to sign in.
Receive a copy of your medical record request using our online request platform. To verify your identity, you will need to submit a photo of your driver’s license. Click below to begin the request. A copy of your record will be sent to the email address provided.
To request your medical request on paper, click the appropriate link below to download the form.
Once complete, fax the paper form to 201-781-1111.
*Please note there may be a fee associated with processing a paper request.
A HIPAA-compliant request for records must contain the following information:
If you have additional questions, contact Health Information Management at 201-383-1116.