Home » For Patients & Visitors » Request Your Patient Information
Request Your Patient Information
If you would like a copy of your Patient Information, please complete the following steps:
- Click at the bottom of this page to download an Authorization For Release Of Patient Information Form, in either English or Spanish.
- Print the downloaded form and complete it in full.
- Mail the completed form to the address below.
Medical Records Department
7600 River Road
North Bergen, NJ 07047
If you have additional questions, please contact HackensackUMC Palisades at (201) 854-5081 or (201) 854-5083.