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Request Medical Record

Requests for a copy of a Birth Certifcate:

Births prior to 1985:
Oakland County Clerk
1200 N. Telegraph
Pontiac, MI 48053

Births after 1985:
City of Rochester
Office of Clerk
1000 Rochester Hills Drive
Rochester Hills, MI 48309

To request your medical records from Crittenton Hospital Medical Center, download and complete the form below. 

Health Record Disclosure Release Form

Once completed, you may:

1. Mail it to:   Crittenton Hospital Medical Center
                    Medical Records Department
                    1101 W University Drive
                    Rochester, MI 48307
 
2. Fax it to:    Crittenton Medical Records
                    (248) 652-5191  

3. Drop it off in person to the Medical Records Department.  Please call (248) 652-5221 for hours and directions.
 

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