Request Medical Records

Access to medical records requires the patient's authorization. If the patient is deceased, an authorization form must be completed by the executor of the estate and sent with a copy of the patient's death certificate.

Authorization forms can be downloaded by clicking on the hospital name below. Patients of our primary care centers should choose the hospital affiliated with the office visited from the list below.

• Kenmore Mercy Hospital
• Mercy Hospital of Buffalo
  • Our Lady of Victory Hospital
• Mount St. Mary's Hospital
  • Mount St. Mary's Neighborhood Health Center
  • Mount St. Mary's Health Center Lewiston
  • Mount St. Mary's Primary Care Lewiston 
  • Mount St. Mary's Health Center Lockport 
  • Lockport Memorial Hospital
  • Niagara Ambulatory Campus
• Sisters of Charity Hospital
  • Sisters Health Center D'Youville
  • Mercy Comprehensive Care Center
  • St. Vincent Health Center
  • Ken-Ton FamilyCare Center
• Sisters of Charity Hospital - St. Joseph Campus

Please note that if records are requested from a Catholic Health facility, there may be a fee involved. If the request is sent directly to your medical provider, there should be no charge.

Your birth records are kept in the Clerk's Office in the municipality in which you were born.

Born at Mercy Hospital of Buffalo or Sisters of Charity Hospital - Main Street Campus
Buffalo City Clerk’s Office
Buffalo City Hall
65 Niagara Square
Buffalo, NY 14202
(716) 851-5444

Born at Kenmore Mercy Hospital
Town of Tonawanda Clerk’s Office
Municipal Building – Room 14
2919 Delaware Avenue
Kenmore, NY 14217
(716) 877-8800

Born at Mount St. Mary's Hospital
Town of Lewiston Clerk’s Office
1375 Ridge Road
PO Box 330
Lewiston, NY 14092
(716) 754-8213, ext. 222 and 256

Born at Our Lady of Victory Hospital
Lackawanna City Clerk’s Office
Lackawanna City Hall
714 Ridge Road
Lackawanna, NY 14218
(716) 827-6452

Born at Sisters of Charity Hospital - St. Joseph Campus
Town of Cheektowaga Clerk’s Office
3301 Broadway
Cheektowaga, NY 14227
(716) 686-3982

On March 21, 2012, New York State passed a bill that allows parents of still birth babies to apply for a Certificate of Still Birth. Click here for information on how to apply.