Request Medical Records
The Health Information Management Department at Astor Services maintains documentation of each client’s care. It is the responsibility of Astor Services to protect the confidentiality of the client’s medical record. Any information contained in the medical record is confidential and protected by federal and state law. Therefore, client information may only be released upon receipt of an appropriate HIPAA authorization or valid subpoena/court order.
To request your medical record in person, by mail, email or fax, a copy of a photo ID is required. Clients (or their parents/guardians, if minors) will be furnished with a copy of their record upon receipt of completed Astor Services Authorization to Obtain/Release Information Form (available below).
Agency Authorization to obtain and release information – English
Autorización de la agencia para obtener y divulgar información – Spanish
Requests for records and authorizations may be requested through the webform below, or faxed to (845) 876-6995.
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