A Higher Degree of Excellence in Rehabilitation

Request for Medical Records

Copies of your medical records can be obtained by submitting a written request to the Medical Records Department at Penn State Hershey Rehabilitation Hospital. In accordance with state law, a fee may be charged.

For your convenience, click here to access and print a copy of the Patient Access and Authorization Form (PDF).

Please mail the completed form to:

Medical Records Department
Penn State Hershey Rehabilitation Hospital
1135 Old West Chocolate Avenue
Hummelstown, PA 17036

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