Option #1 – Submit Your Request Online

Option #2 – Submit Your Request via PDF

To complete a physical request form, download, print, and fill out the appropriate PDF below.

Reading Hospital Patient PDF Forms

Tower Health Medical Group PDF Forms

To Submit a PDF Request

After you complete a PDF request form, submit your form in one of three ways:

  1. In person:
    Records Release Department
    5th Avenue Lobby
    West Reading Campus
    Open Monday through Friday from 8 a.m. to 7 p.m.
    Park in the “patient drop-off” parking spaces or use the free valet service, then enter through the 5th Avenue Lobby entrance.
  2. By fax: 484-628-9777
  3. By mail:
    Director of Health Information Management
    Reading Hospital
    PO Box 16052
    Reading, Pennsylvania 19612-6052