Request Your Medical and Imaging Records

How To Request Medical and Imaging Records

Rothman Orthopaedics has partnered with MRO eXpress for the completion of medical and imaging records.

You can also submit your request by fax. You can download the form here:
Download a Release Form
You must complete this form in its entirety, fields marked with * are required. Fax the request form to 267-551-2990, Attn: Medical Record Department

Important Information

Proof of Identification

All requesters must provide proof of identification and/or documented proof of legal relationship, as appropriate, along with the request form.


Processing Time

Requests are processed in the order they are received and will be delivered to you as quickly as possible.

Please note progress notes are now available on the patient portal.

Do not use this form for Disability/FMLA related requests. Instead go to our Disability and FMLA Forms page.


Fees for Records

Depending on the purpose of your request, you may incur a fee for a copy of the records. You will be advised of any potential fees when your request is submitted and again before it is completed.



For help with record requests including online submissions and status updates, please contact MRO Requester Services at 610-994-7500, option 1.
Monday – Thursday, 8:30am – 8:00pm EST
Friday 8:30am – 6:00pm EST

To speak with Rothman Medical Record Support staff please call 267-339-3784.
Monday – Friday, 8:00am – 4:30pm EST

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