St. Clare Memorial Hospital Patients & Guests Medical Records

Medical Records

How do I get a copy of my medical records?

To request a copy of your medical records from our Medical Records Department, download and complete the Medical Records Release Form. Once completed, attach it to the online form below, or mail to: Medical Records Department 855 S. Main St., Oconto Falls, WI 54154. Call (920) 433-8172 for more information. Click here for a copy of the Patient Access Form.

Step 1

Download and complete the Medical Records Release Form.

Step 2

Submit your completed Medical Records Release Form via mail at:

Medical Records Department
855 S. Main St.,
Oconto Falls, WI 54154

or attach in the form below.

View Your Health Records From Your Computer or Mobile Device

ChartMyHealth is a free, online personal health record that you can securely access from your home computer, laptop, mobile device or smart phone.

Proxy access to your family's records. Click here for a copy of the proxy access consent form.

Birth Certificate Requests

Please contact the Wisconsin Vital Records with birth certificate requests. Call 608-266-1373, or click here.

First Name:

Last Name:

Date of Birth:

Today

Phone Number:

( ) -

Email Address:

Address:

City:

State:

ZIP code:

Authorizes:

Message:

Upload Medical Records Release Form:

Security code: