FAQs

How can I obtain a copy of my medical record?

You have the right to view and/or request copies of your health care record. To view your health care record, you must make an appointment with the Release of Information Department at (608) 775-3199. (Photo identification is required.)

To obtain copies of your healthcare record, please download and complete the “Authorization for the Disclosure of Protected Health Information” (pdf) and send directly to:
Release of Information
Gundersen Health System
1900 South Avenue - FBB-001
La Crosse, WI 54601

Authorizations may also be faxed to (608) 775-4706. (Please click here for instructions on completing the “Authorization for the Disclosure of Protected Health Information”.)

Can I obtain medical records on someone other than myself?

If you are requesting records on someone other than yourself, you will need to provide legal documentation verifying legal guardianship, power of attorney, personal representative, etc. Biological parents may request copies of their minor child’s records as long as their parental rights have not been terminated.

Note: For billing information, please contact Patient Business Services at (608) 775-8660.

How long does it take to obtain copies of my medical records?

It takes approximately 3-5 days to complete a request once it has been received. We realize there are circumstances when your medical record will require immediate disclosure. If this is your situation, please call Release of Information to discuss your needs, (608) 775-3199.

Is there a cost to obtain a copy of my medical record?

There is no charge for copies of your medical record if it is mailed directly to another physician or healthcare facility. Records requested for any other reason may be subject to a processing fee. Please contact Release of Information for more information, (608) 775-3199.

Who can pick up my medical records?

If someone other than the patient will be picking up copies of medical records, that person must bring written authorization from the patient. Photo identification is also required when picking up medical records.

What if I find an error in my medical record?

If you believe that information within your medical record is incorrect or incomplete, you may request to have that information corrected. If we determine to the best of our knowledge your information is accurate and complete, or if Gundersen Lutheran did not create the information, we may deny your request. However, if we deny any part of your request, we will provide you with a written explanation of our reasons for doing so. Requests to make a correction to your records must be in writing and ask that you complete the “Request to Amend Protected Health Information” form.

Please send your written request to:
Patient Information Coordinator
Gundersen Health System
1900 South Avenue, FBB-001
La Crosse, WI 54601

Can I request restrictions on how my health information is used?

You have the right to request restrictions on certain uses and disclosures of your medical information. We are not required to comply with your requested restriction. However, if we do agree, we will comply with your request unless the information is needed to provide you emergency treatment, to comply with the law, or otherwise specified on the request form. You also have the right to opt-out of receiving information regarding fundraising efforts, marketing/treatment alternative materials, or participating in research. For further information, please review our Notice of Privacy Practices.

To make a request for restrictions, please print and complete a “Request to Restrict Access to Protected Health Information” form. Please send your completed form to:
Patient Information Coordinator
Gundersen Health System
1900 South Avenue, FBB-001
La Crosse, WI 54601

How can I obtain a copy of my birth certificate?

If you were born at Gundersen, you will need to contact the La Crosse County Register of Deeds at (608) 785-9644 or access their web site.
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