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 3100 Superior Ave., Sheboygan, WI 53081. Call (920) 459-4657 
for more information.
 

Step 1

Download and complete the Medical Records Release Form.

Download

 


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. 

 Security code



" Start by doing what’s necessary; then do what’s possible; and suddenly you are doing the impossible."

St. Francis of Assisi