View up to date information on the Coronavirus Disease 2019 (COVID-19) from the Wisconsin Department of Health Services
You can also visit the Centers for Disease Control and Prevention website or our HSHS COVID-19 page.

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 1726 Shawano Ave., Green Bay, WI 54303.  Call (920) 459-4657
for more information.

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 1726 Shawano Ave., Green Bay, WI 54303, or attach in the form below. 

( ) -
Enter security code:
Security code

Notice of Nondiscrimination:  English

Language Assistance:  Español | Hmoob | Deutsch | Français | 繁體中文 | Deitsch | Polski | العربية | Русский | Italiano | Tagalog | हिंदी  | ພາສາລາວ | 한국어 | Tiếng Việt | اُردُو |