Medical Records
The Medical Records Department is committed to helping our patients and families, physicians, and other healthcare information users by maintaining accurate records and providing access to those records in the safest and most efficient way possible.
Healow: Your Secure Online Health Record
Healow is your window into your electronic health record.
Information about your child’s care from our providers is available in their medical record. You can confidently access Healow on any computer or smartphone.
Do you have a form that needs to be completed by the doctor/staff?
You can upload it to your us directly!
Upload Now
- You must complete your part of the form (child’s name, date of birth on all pages) prior uploading it to us.
- Please allow 24-72 hours for completion
- In the comment section please specify the method of delivery of your completed form if (fax number, pick up at one of our offices or mailed)
- Only use the medical records form upload or email address for forms, not for appointment requests.
- Only use the email addresses below for forms, not for appointment requests.
- We will be uploading completed forms (we need 24-48 hours to complete them) to your child’s patient portal, which is the most secure way, and it ensures you can access them at any time and will not go to a “spam” inbox.
Immunization and Physical Forms for schools, daycare, camps
If you are a patient/parent/legal guardian looking to obtain a copy of your child’s immunization and/or current physical form (New Yok State Health Examination Form), please access the patient portal.
It is the policy of CMG that our patient has a physical examination within the past 12 months to complete a form. If a physical examination has not occurred within the past 12 months, an appointment for a physical examination may be scheduled, at which time the form will be completed.
Request a Copy of a Medical Record
You can request a full copy of a medical record if you are a:
- Parent or legal guardian of a patient under the age of 18.
- Patient under the age of 18 with legal rights to consent for him/herself.
- Patient 18 years and older.
- Legal guardian of a patient 18 years or older with written patient consent.
- Legal guardian of a patient 18 years or older who doesn’t have the capacity to consent.
You may also authorize a physician or other individual or entity to have access to your child’s medical record. Identify who you’re authorizing to Receive Medical Records under the “Facility Receiving Medical Records” section of the form.
Due to the large volume of requests and compliance regulations, production or copies of medical records are not immediately available. Requests can take up to 12 business days to process.
You may also download the Authorization to Release form below if you wish to submit your request by mail, fax, drop off at any of our offices, email, or upload to us.
Authorization to Release Form:
Please note, records from another facility contained within the requested records may be released.
Send a Medical Record to The Children’s Medical Group
If you would like to send a copy of a medical record to The Children’s Medical Records, send via:
Fax (Preferred): 845-452-1752
The following information must be visible on all documents prior to sending:
- Sender’s name
- Sender’s contact information
- Two patient identifiers
- Number of pages sent.
Mail: 301 Manchester Road Suite 105 Poughkeepsie, NY 12603
Drop Off: You can drop of medical records to any of our offices.
Transferring Into Our Practice
If you are transferring into our practice; by enrolling in our Family Guide Program, you will receive personalized concierge service to help you learn about our practice and make the transition as smooth as possible including helping you get your records transferred to our office.
Click here to learn more about our family guide programTo ensure your child receives the highest quality of care, it’s vital for us to understand their medical history in detail. This knowledge will facilitate a seamless transition to our practice, allowing us to provide personalized attention right from the start. Please take a moment to complete the Authorization Form to Receive Information from A Previous Doctor if you are transferring from another pediatric practice. Your child’s well-being is our priority!
You may also download the Authorization Form to Receive Information from A Previous Doctor below if you wish to submit your request by mail, fax, drop off at any of our offices, email, or upload to us. Requests are normally processed within 10 business days.
Authorization Form to Receive Information From A Previous Doctor:
18+ Consent Form
Federal law prevents us from sharing information with you about your child aged 18 or older without their permission. Please have them sign this form when they turn 18 to grant us permission to keep sharing their information with you.
You may also download the 18+ Consent Form below if you wish to submit your request by mail, fax, drop off at any of our offices, email, or upload to us. You must include a copy of a valid state ID or passport with signature. Requests are normally processed within 10 business days.
18+ Consent Form
Medical Records Contacts
Please send all medical record request forms, subpoenas or court orders to the address, fax, or email below. A representative from the Medical Records Department will be available to assist you with your request.
The Children’s Medical Group
Attn: Medical Records Dept.
301 Manchester Road Suite 105
Poughkeepsie, NY 12603
Phone: (845)-452-1700 (option 5)
Fax: (845)-452-1752
E-Mail: Medicalrecords@cmgkids.org
If you are from a Legal office or Government agency, please call our office a representative from the Medical Records Department will be available to assist you with your request.
Subpoenas are to ONLY be delivered to our Poughkeepsie office at 301 Manchester Road Suite 105 Poughkeepsie, NY 12603.
If you are looking to retrieve your lab results, please visit your patient portal or call our office.