Please have available the following information in order to fill the form out completely. If you would like to make VUMC aware of a patient’s death, please complete this online form. Vanderbilt University Medical Center (VUMC) is often unaware when a VUMC patient dies at a non-VUMC hospital or facility, or elsewhere outside of VUMC. Please note the online request process is for patients/legal representatives only. The physician office must fax a written request on their letterhead to (786) 206-0850 indicating the patients name, date of birth, date of visit and the name. Select the “Request Medical Records” button above to get started. Optional: Adobe Reader (to download a copy of your request).If you are requesting medical records about another patient other than your own child, please have the authorizing documents available such as power of attorney, guardianship papers, executor’s documents, death certificate of the patient, or birth certificate of the patient, or other documentation that shows appointment as legal representative.If you are requesting records be sent outside of Vanderbilt University Medical Center (VUMC), you will need the full address, phone number, and if applicable, the name of the provider/facility.Name(s) of provider(s), types of records needed, location, and dates of service for the records to be released.Your Photo ID/Driver’s License (or a clear picture of your ID that can be uploaded).To successfully complete your online request, please make sure you have the following available: This may be accessed via the link on the right or through the My Health at Vanderbilt patient portal. VUMC is pleased to now offer patients/legal representatives an online request process for medical records.
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