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Medical Records

Medical Records

Montefiore Nyack Hospital is pleased to offer our patients quick and easy access to their medical records through MyChart. MyChart provides important information, including: 

  • Medical history
  • Procedures performed
  • Test results
  • Radiology results
  • Vital signs
  • Allergies
  • Medications

Release of Medical Records

To request a complete copy of your medical record or radiology reports and images, or to send a copy to a third party, please download and complete the  Authorization for Release of Health Information form. You may return the completed form to the Medical Records Department by fax at 845-348-8433 or by email at We can provide copies of your medical records via secure email and/or we can mail a CD to you.  

Requests from attorneys can be mailed to: Medical Records Dept., Montefiore Nyack Hospital, 160 North Midland Avenue, Nyack, NY 10960.

For additional information about the release of medical records, call 845-348-2527.

Birth Certificate Inquiries

To request a birth certificate for an infant 3 months of age or younger, call 845-348-2885. For all other birth certificate requests, contact the Village of Nyack: 

Nyack Village Hall 
9 N. Broadway 
Nyack, New York 10960