Request Your Medical Record

If you want a copy of your Bronson medical record, you can request one by filling out a Release of Information form.
  • Fill out the Release of Information (English) or Release of Information (Spanish). Be sure to sign the form. Unsigned requests cannot be processed.
  • Mail or fax the completed form to us  
              Fax: (269) 657-1349

              Mailing address:

              Bronson LakeView Health Information Management 

              P. O. Box 209

              Paw Paw, MI 49079-0209 

  • Your request will be fulfilled within ten working days. 
  • For more information, contact Bronson LakeView Health Information Management at (269) 657-1349.




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