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Patient Information

Reproduction of Medical Records


All requests for Medical Information must be made in writing to Queen's Medical Records Department, Release of Medical Information Section. (The Medical Records department does not have radiology films or billing records.)

You may download the "Authorization to Release Medical Information" form (available in PDF) to print a hard copy and then complete. All requests for Medical Information must be accompanied by this form and signed by the patient, legal guardian or next of kin.

Mail completed and signed authorization form to:
       The Queen's Medical Center
       Medical Records Department
       1301 Punchbowl Street
       Honolulu, HI 96813

The completed form may also be FAXed to 808.537.7806. If you have any questions, please call The Queen's Medical Records department, Release of Medical Information Section, during regular business hours, Monday through Friday, 8:00 am to 4:00 pm.

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