Medical Records

Your confidentiality is our priority.

You privacy is important.  At Affinity Health System, your medical records are kept strictly confidential yet readily available when you need to share information with your health care team.  Please note: For security purposes, we do not process requests for medical records via e-mail. 

 Who owns my medical records?

The information contained in your medical records belongs to you, and you are entitled to access that information.  The physical record is the property of Affinity Health System.  We maintain records in order to provide effective services to our patients. 

Return to Top
 How do I request copies of my medical records?

You are welcome to request copies of your medical records at any time.  Each clinic, hospital and specialty department maintains confidential medical records of its patients.  To obtain copies of your medical records, please contact the clinic or hospital where you received care and ask to speak with the Medical Records department.  The Affinity Medical Records staff will be happy to assist you.  A list of all Affinity Medical Group clinics and hospitals and their phone numbers is available online.  General information lines are also listed below.  Or, download the Medical Record Authorization form.

Return to Top
 How do I transfer my medical records?

Transfer from an Affinity doctor to another Affinity doctor:
Sometimes your health care journey will take you from the doctor’s office to a hospital or a specialty department within Affinity Health System.  Affinity wants this to be as convenient as possible.  If you are currently seeing an Affinity doctor and he/she refers you to another Affinity doctor, your doctor’s office will transfer the necessary records for you.  

Transfer from an Affinity doctor to another doctor outside of Affinity Health System:
Affinity Health System will cooperate with transferring your medical records to another health care provider at your request.  Please contact the clinic or hospital where you received care and ask to speak with the Medical Records department.

Transfer to Affinity:
Please contact the Affinity clinic or hospital where you would like the records to be sent.  Ask to speak with the Medical Records department.  They will be happy to assist you with the process for transferring records to a specific doctor’s office.

Return to Top
 Is there a fee for requesting my medical records?

You can make an appointment to view your medical records at no charge.  If you wish to receive a paper copy of your records for your own use, you may be charged a fee for processing the request.  There is no fee for transferring your medical records directly to another health care provider.

Return to Top
 Can I access my family member's medical records?

State and federal laws determine who may have access to a patient’s information.  If you are a parent or legal guardian of a minor child, in most cases you will be able to access the child’s health care information if you provide proper identification and sign a consent form.  The Affinity Medical Records staff can answer any questions you might have regarding access to family members' information.

Return to Top
 Can my medical records be shared without my consent?

Yes.  The law allows for exceptions and typically limits the amount of information that can be released under special circumstances.  Some examples would be in response to a medical emergency, under a court order, and in response to workman’s compensation claims.

Return to Top
 Who can I call with questions?

Please call the clinic or hospital where you received care and ask to speak with someone in the Medical Records department.  A list of all Affinity Medical Group clinics and hospitals and their phone numbers is available online.  General information lines are also listed below.

Affinity Medical Group (clinics) general info: (920) 720-7400
Calumet Medical Center: (920) 849-2386
Mercy Medical Center: (920) 223-2000
St. Elizabeth Hospital: (920) 738-2000

Return to Top

Contact Us

1506 S. Oneida St
Appleton, WI 54915
(920) 738-2000

Connect With Us


Copyright © 2017 Affinity Health System. All Rights Reserved