• New Castle County: (302) 224-6800
  • Kent/Sussex County: (302) 678-4622

Medical Records and Privacy Practices

Medical Records

Request a Copy of your Medical Records

You can request a copy of your medical records 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

To submit your request, fill out, sign and send an Authorization for Release of Medical Records Form via fax or mail.  Requests are normally processed within 7-10 business days.

Release or Authorize a Disclosure of your Medical Records

If you would like us to send a copy of your medical records to a physician or other individual or entity, you must fill out, sign, and send an Authorization for Release of Medical Records Form via fax or mail. Identify who you’re authorizing to receive your information “Release Information To” section of the form.  Requests are normally processed within 7-10 business days.

Grant another individual access to your medical information if you are a:

  • 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

To submit your request, you must you must fill out, sign, and send an Authorization for Release of Medical Records Form via fax or mail.

Authorization for Release of Information/or Coordination of Care for an Adult Patient (English)

Authorization for Release of Information/or Coordination of Care for an Adult Patient (Spanish)

Request for Form Completion Consent

If you have a form that needs to be completed by your healthcare provider outside of a scheduled appointment, please complete the Request for Form Completion Consent and attach it to your form.  Please be sure to complete the demographic sections of your form with your current information and drop off with the front desk staff at your healthcare site.

All Other Requests

For requests for partial information such as a copy of your or your child’s immunization records, physical, lab, or procedure results, etc., please contact the Medical Records Department at the medical office where you receive care:

Medical Records Dept.   Phone
4th Street (302) 655-5822 option 8
Bear (302) 836-2864 option 8
Dover (302) 678-4622 option 8
Newark (302) 738-0176 option 8
Northeast (302) 575-1414 option 8


Centralized Medical Records Fax:
(302) 322-6201

Medical Records Contact Information

Datafile Technologies has been retained by Westside Family Healthcare to fulfill your requests for transfer of care to a new primary care provider and requests for a personal copy of your complete medical record.  To get an update on the status of your request contact Datafile Technologies at:

Customer Service Phone: (816) 437-9134
(Be prepared to provide your name and date of birth)

Privacy

As a part of our effort to provide quality healthcare for the entire family, Westside Family Healthcare is committed to protecting the privacy of our patients, in accordance with the Health Insurance Portability & Accountability Act of 1996 (HIPAA).

Below you will find a link to Westside Family Healthcare’s Notice of Privacy Practices. This Notice is provided to all patients who receive care at Westside Family Healthcare’s offices. It explains how we may use and disclose a patient’s personal health information. The Notice also explains a patient’s rights in respect to personal health information, and how a patient can report a suspected privacy protection violation.

Westside Family Notice of Privacy Practices

If you have any questions about this notice, please contact John Hundley, Privacy Officer and Director of Site Operations at 302-656-8292 ext. 1012.

Locations & Hours

To schedule an appointment at one of our
locations, please call:

New Castle County: (302) 224-6800

Kent/Sussex County: (302) 678-4622

Offices closed every Thursday from 2 p.m.–3:30 p.m.

Administrative Office
(300 Water St. Suite 200 Wilmington, DE 19801)
Ancillary Administrative Office
(2 Penns Way Suite 412 New Castle, DE 19720)
Bear / New Castle
(404 Fox Hunt Dr. Fox Run Shopping Center Bear, DE 19701)
Dover
(1020 Forrest Avenue, Dover, DE 19904)
Dover Dental
(1020 Forrest Avenue Dover, DE 19904)
Newark
(27 Marrows Road, Newark, DE 19713)
Newark Dental
(27 Marrows Road, Newark, DE 19713)
Northeast
(908-B E. 16th St. Wilmington, DE 19802)
Northeast Dental
(908-b 16th Street, Wilmington, DE 19802, United States)
Wilmington
(1802 W. 4th St. Wilmington, DE 19805)
Wilmington Dental
(1802 W. 4th St. Wilmington, DE 19805)