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) 341-7714
    • Mailing address:
      Bronson Methodist Hospital
      601 John Street, Box F
      Kalamazoo, MI 49007
  • Your request will be fulfilled within ten working days. 
  • For more information, contact Bronson Health Information Management at (269) 341-6024.




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