Prime Health Network

Tomorrow's Medicine Today


If have decided to seek care outside of Prime Health Network and need your records sent to your new provider, we require a written authorization.  If you have not yet decided on a new provider, you may wait until you do so to request your records. 

Please download the Records Release Form.  Complete the form and send it to:  


Prime Health Network
Attn:  Records Request
301 West Chester Pk Ste 201
Havertown PA 19083



Please leave the SSN space blank if emailing

You may also request your records through your new provider.  Please ask the provider to fax a request to 484-422-8073.

All requests for records must be signed by the patient or the patient's legal representative.