Request Your Medical Records from Holy Family Memorial
Complete guide to ordering your medical records from Holy Family Memorial in Manitowoc, WI. Learn about your HIPAA rights, fees, expected turnaround times, and how to submit your request.
How do I order medical records from Holy Family Memorial?
To order medical records from Holy Family Memorial in Manitowoc, WI, submit a signed authorization to the health information management department. The federal HIPAA Privacy Rule generally requires covered entities to act within 30 calendar days, with one limited extension; state law may be faster. Available submission methods must be confirmed with the provider. MedicalRecords.com can coordinate an authorized request, but provider timing is not guaranteed.
Your HIPAA Rights at Holy Family Memorial
Under the HIPAA Privacy Rule (45 CFR §164.524), you have the legal right to access your medical records from Holy Family Memorial. Key protections include:
- 30-day response requirement — Holy Family Memorial must respond to your request within 30 calendar days (one 30-day extension is permitted with written notice).
- Right to designated record set — You can request medical records, billing records, insurance records, and other information used to make decisions about your care.
- Electronic copies — If your records are maintained electronically, you may request an electronic copy in the format of your choice (if readily producible).
- Reasonable fees only — Providers may only charge reasonable, cost-based fees for copying. Many states cap these fees below federal limits.
- Right to file a complaint — If Holy Family Memorial fails to comply, you may file a complaint with the HHS Office for Civil Rights (OCR).
Source: U.S. Department of Health & Human Services, 45 CFR §164.524 — Access of individuals to protected health information. Last reviewed January 2026.
Health Information Management (HIM) at Holy Family Memorial
- Phone
- (920) 320-2011
Expected Turnaround
30 business days
Copying Fees
Reasonable, cost-based fees per HIPAA
Wisconsin Medical Records Fees & Regulations
Filing Deadline
You have 60 days to file a billing complaint in Wisconsin.
Patient Advocate
Wisconsin Office of the Commissioner of Insurance, Consumer Services — File a complaint
No Surprises Act Compliance
Wisconsin relies primarily on the federal No Surprises Act for surprise billing protections. The Office of the Commissioner of Insurance coordinates with CMS for enforcement.
How to Request Medical Records from Holy Family Memorial
- 1
Gather your identification
Prepare a valid government-issued photo ID and any details about your visits to Holy Family Memorial (dates of service, department, treating physician).
- 2
Complete a HIPAA authorization form
Download or request a HIPAA-compliant medical records release form from Holy Family Memorial. Fill in your personal details, specify the records you need, and sign the form.
- 3
Submit your request
Submit your signed authorization to Holy Family Memorial's Health Information Management (HIM) department by mail, fax, or in person. Keep a copy for your records.
- 4
Pay applicable fees
Pay any applicable copying fees. Under HIPAA, fees must be reasonable and cost-based. Wisconsin may set additional fee caps.
- 5
Receive your records
Holy Family Memorial typically fulfills requests within 30 business days. HIPAA requires a response within 30 calendar days.
Ready to Request Your Records?
Skip the paperwork. Start your medical records request from Holy Family Memorial online. We prepare the authorized request and follow up; the provider controls availability and release timing.
Order Records from Holy Family Memorial