Medical Record Release

If you would like to request a copy of your medical records, please download the appropriate Toledo Clinic Authorization Form. This form must be completed and signed for The Toledo Clinic to release your medical records to you or another party. Once completed, please return the forms to:


4235 Secor Road
Toledo, OH 43623

Or fax to 419-214-1979

To contact Medical Records, please call 419-479-5930.
Hours: 8:00 AM-4:30 PM

Please allow time for processing and be aware that there may be a financial charge for medical record copies.