Request Release of Medical Information

The information contained in a patient’s medical record is confidential. It is a legal requirement that WellSpan Evangelical Community Hospital receive specific authorization before releasing this information.

All requests for information are completed electronically. The hospital does not process releases, under any circumstances, for pick up at the hospital. When placing a request, please allow appropriate time for processing and delivery.    

To request your medical record electronically and have the request sent automatically to be processed use the button below.

• Remember to have your driver's license or other photo ID ready to confirm your identity.

Release of Information

Please note: You will be redirected to a third-party system managed by MRO. WellSpan Evangelical Community Hospital works with the release of information vendor, MRO, to coordinate providing copies of medical records to patients and authorized representatives. The MRO portal has a different privacy policy and may have different security than evanhospital.com.

For questions or concerns, please call 570-522-2572.