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Request for 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, we have provided you a printable 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