Medical Records

St. Francis Healthcare System of Hawaii Medical Records

Medical Records Requests and Duplication Fees

 All requests for Medical Information must be made in writing to the St. Francis Healthcare System of Hawaii, Medical Records Department.  You may download the “Authorization to Release Medical Information” (repeated below) form  to print a hard copy and then complete. All requests for Medical Information must be accompanied by this form and signed by the patient, legal guardian or next of kin.

Download “Authorization to Release Medical Information” form 

Mail completed and signed authorization form to:

St. Francis Healthcare System of Hawaii
Medical Records Department
PO BOX 29700, Honolulu, Hawaii 96820

 If you have any questions, please call The St. Francis Healthcare System of Hawaii Medical Records department, during regular business hours, Monday through Friday, 8:00 am to 4:00 pm at 808-547-8079.

Duplication Fees

There is no charge for physicians and other health care facilities requesting copies of medical records when being requested for direct patient care if sent directly to the physician or health care facility requesting them. If a patient requests that information be sent to the physician or health care facility at the direction of the health provider, it will first be verified before any records are sent.

All other requests are billed directly to the receiver of the medical records (e.g. attorneys, vocational rehabilitation, etc.). For personal and out-of-state requests, fees must be paid in advance.

Patient Request (Payment required for personal use)

Imaging Film and Electronic Images

 CD Copy $20.00 per CD (includes images and reports)

 Film Copy $12.00 per film (includes images and reports)

 

Medical Record Electronic and Paper

CD Copy (PDF format when available):

  • $20.00 per CD

Paper Copies Fees

  • $.25 per page for hard copies 10 or more pages
  • $.50 per page for copies that are on microfilm

Other Fees

Shipping & Handling when applicable (Quote to be provided to requestor)