Give Online: Help shape patient care for generations to come.
Cleveland Clinic Logo

Patient Information

Patient Rights and Responsibilities

Your hospital encourages respect for the personal preferences and values of each individual.

Access Your Medical Records

Use this form to request your medical information. Please print clearly and fill out as much information as possible. If unsure of specific dates, please give a range of dates or specific information you are looking for to help us find the correct medical information. Sign and date the form in the designated area on the bottom of the form. Based on the type of request you make, there may be a charge for this service. Have questions? Contact Health Information Services toll-free at 844.203.8777.

Print, complete and mail the form to:

Cleveland Clinic
Attn: Medical Records Department
Mail Code: Ab-7
9500 Euclid Avenue
Cleveland, OH 44195

Or you may fax the completed form to 1.216.587.8043. Please allow 7 - 10 days for processing.

Obtaining a Birth Certificate

All birth certificates for those born at Lakewood Hospital are kept on file at the City of Lakewood/Department of Finance. For more information, visit their website, or call 216.529.7690.