To request a copy of your medical records, please complete the Authorization for Release of Information Form, and fax or mail it to the Medical Records department.
New York Eye and Ear Infirmary of Mount Sinai
Medical Records Department
230 Second Avenue, Basement
New York, NY 10003
There is a charge of $.75 per page if the record is being copied for the patient. If the record is being sent to a doctor, there is no fee.
Please note: New York State law specifies a seven-year period for retention of medical records for an adult patient, and to age 21 for minors.
For your convenience, we make our forms available here in a range of languages.
Patient Access Request for Medical information
Patient Authorization to Release Medical Information to Third Party