Medical Records

Medical Records

The Health Information Management (HIM) Department would be more than happy to assist you in requesting your records at their department front window.

Release Authorization

All requests for Medical Information must be made in writing to Wahiawa General Hospital, HIM Department, Release of Information Section. All requests must be made in writing and signed by the patient (18 years or older), legal representative or guardian with a valid photo ID.  Please allow 7-10 business days.

You may download the “Authorization to Release Medical Information” form to print a hardcopy and then complete.  All requests for Medical Information must be accompanied by this form and signed by the patient, or the patient’s legal representative or legal guardian.  Please mail the completed and signed authorization form to:

Wahiawa General Hospital
Health Information Management Department
Release of Information Section
128 Lehua Street
Wahiawa, HI 96786

Duplication fees may apply. Any fees must be paid in advance.

There is no charge for physicians and other health care facilities (for direct patient care) if sent directly to a physician or healthcare facility and requested by the physician or healthcare facility.  If a patient requests that information to be sent to the physician or healthcare facility at the direction of the health provider, it will first be verified before any records are sent.

Contact Us: If you have any questions, please call the HIM Department, Release of Medical Information Section.

Hours: M-F, 9 a.m. to 3 p.m.  Excluding WGH observed holidays.

Phone: (808) 621-4285


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