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Medical Records

Dayton Children’s Hospital is legally required to receive specific authorization before medical records can be released. Authorization may be granted by completing an “Authorization for Release of Dayton Children’s Information” form. These forms are available through Health Information Management. Dayton Children’s charges when records are copied for personal use or for certain third party requests.

Types of requests

Parents, guardians or patients 18 years of age and older are able to request multiple forms of records from Dayton Children’s. Please see below to ensure you are contacting the right department for your needs.

  • Request for imaging CD only (X-ray, MRI, nuclear medicine or other films) should be received from the department of radiology and medical imaging at 937-641-3811.
  • Request for billing - Dayton Children’s families are able to pay their bill online. If you have a question or need an itemized billing statement please contact patient accounts at 937-641-3555.
  • Request for copies of medical records should be directed to Health Information Management. Learn more using the links below.


More about Medical Records

Contact Us

Contact Us

If you have questions or would like help please contact our health information management department by phone or email.


Request Form

To begin the process of requesting medical records, please complete our authoization form.

Download form

Upcoming Events

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The University of Dayton and Miami Valley Hospital Healthcare Symposium is a unique opportunity for UD students, alumni, health care professionals and community members to come together for a day of dialogue and continuing education.

We are driven by our values of safety, compassion, ownership, collaboration, innovation and value creation. We are looking for individuals to join our team who embody these values and support our mission of improving the health status of all kids in our region. We hope that might be you! Come to our job fair to learn more about our open opportunities.

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Medical Records


The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815