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Medical Records

It’s easy to request a copy of your medical records or birth certificate for you or your dependent. Or sign up for MyHSHS to view records from your computer or mobile device.

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 3100 Superior Ave., Sheboygan, WI 53081. 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

3100 Superior Ave.,

Sheboygan, WI 53081

or attach in the form below.

Birth Certificate Requests

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

Provider and patient smile and review chart together

View Your Health Records From Your Computer or Mobile Device

MyHSHS 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.

First Name

Last Name

Date of Birth

U.S. phone number

Address

City

State

Zip Code

Authorize Hospital

Message

Upload Medical Records Release Form

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