Hours of Operations & Contact Information

Welcome to the website of Health Information Management (HIM) Department at Providence Hospital commonly known as Medical Records. You can contact HIM at (202) 269-7173 from 8:00 AM to 4:00 PM, Monday through Friday .

You may also write HIM at the following address:

Health Information Management
Providence Hospital
1150 Varnum Street
Washington, DC 20017

General Policy

All patient health care information at Providence Hospital is confidential. Therefore, medical record information cannot be released to any person without the authorization of the patient or the patient's legally authorized representative (unless authorized by law).

Request for copies of Medical Records

All requests for the release of medical records must be submitted in writing and must be dated and signed by the patient or the patient's legally authorized representative. In the case of a minor, the parent or guardian must sign the authorization.

Authorization Request Requirement

A Providence Hospital authorization form should be used, although a handwritten authorization is acceptable as long as it contains the following information:

• Patient's name
• Patient's date of birth
• Patient's social security number
• Specific healthcare information requested to be released
• Name of person or organization (and address) to whom the information is to be released
• Reason or purpose for release of the information
• Signature of person authorized to request release of information

Submitting An Authorization

To submit a written authorization for the release of medical information from Providence Hospital, hand deliver or mail the completed authorization to:

Health Information Management
1150 Varnum Street
Washington, DC 20010
Providence Hospital

If the medical records information request is for continuing patient care, faxing the completed authorization will be accepted. Please fax the authorization to: (202) 269-7931.

E-mail or non-clinical faxed requests or authorizations will not be accepted.

Processing Fees

Fees have been established for copies of patient medical records/medical information. No fee is assessed when the medical information is being sent to another health care provider as part of continuing care.

For information on fees, contact the hospital's copy service contractor, Universata, at (202) 269-7468 or (202) 281-3073.

Birth or Death Certificates

To order a birth certificate, you will need to contact the District of Columbia Department of Health at:

Vital Records Division
825 North Capitol Street, NE, First Floor
Washington, DC 20002
(202) 442-9009

or visit the following website for further information: www.doh.dc.gov