MEDICAL RECORDS

Whether you are verifying your medical information or granting access to your medical documentation to another doctor or hospital, our friendly and professional staff at Southwestern Vermont Health Care is available to help you. See the list below for the most common requests. 

Under federal and state law, a patient has the right to request a copy of his or her medical records.

We now offer a patient request tool that allows you to request your medical records online.  You can request your medical records online by clicking here. 

Alternatatively, you can follow the steps below: 

  1. Download an Authorization for Release of Information
  2. Fill it out completely, including the dates of service and when you need the information, to ensure timely processing. 
  3. Fax the completed form to (802) 447-5138. Or mail it to: 

Southwestern Vermont Medical Center
Health Information Services
Attention: Release of Information
100 Hospital Drive
Bennington, VT 05201

If copies are going directly to a physician or hospital, there is no charge. If 10 or more pages of your medical record are being directed to you or to another party, a charge of $0.50 per page applies. You will be invoiced for this service. 

Questions may be directed to (802) 447-5323.

You may request a copy of your CT Scan, MRI, X-ray, or other images by completing the authorization form and mailing it back or contacting the SVMC Imaging Department at (802) 447-5111. If you need a copy of the radiologist's interpretation of the image please indicate that at the time of the request.

If you would like to obtain a copy of a birth or a death certificate, please contact the Bennington Town Clerk's office at (802) 442-1043.

To request a change to your medical record:

  1. Download the Health Care Health Record Correction/Amendment form
  2. Fill it out
  3. Keep a copy for yourself and mail the complete form to:

Southwestern Vermont Medical Center
Health Information Services
Attention: Director
100 Hospital Drive
Bennington, VT 05201

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