Medical Records

Medical Records

The Health Information Management (HIM) Department would be more than happy to assist you in requesting your records from their department front window, phone, fax, or via email.

Release Authorization

All requests for Medical Information must be made in writing to Wahiawa General Hospital, HIM Department, Release of Information Section. A downloadable, fillable form is also available for your convenience. 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 to process the request.

You may download the “Authorization to Release Medical Information” form to print a hard copy and/or fill online and then complete it.  You may bring the form in person, email it, fax it, or mail it in. All requests for Medical Information must be signed by the patient, the patient’s legal representative, or legal guardian.  To mail in your request, 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 healthcare 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 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 or email us at

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

Phone: (808) 621-4285

Fax: (808) 621-4271


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