Requesting Medical Records

In order to obtain copies of your medical records dating after October 13, 2013, please fill out the form pertaining to the type of records you would like released: Medical Records or Mental Health Records.

In order to obtain copies of your medical records dating before October 13, 2013, please fill out this Medical Record Release form.

Please send completed forms to our office at the following address:

World Trade Center Health Program
NYU School of Medicine Clinical Center of Excellence
530 First Avenue
Suite 5B
New York, NY 10016