Request your medical records

Copies of medical records can be obtained by mailing a completed Patient Access and Authorization form to our Medical Records Department at the address below.

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

For your convenience, a PDF copy of the forms are available below.

• Patient Access and Authorization form – English
• Patient Access and Authorization form – Spanish

NOTE: In accordance with state law, a fee may be charged.