If you are a patient with Johns Hopkins Medicine pharmacies, you may request a copy of your prescription records. You can also have a copy of your records sent to another person, such as a health care provider.  

We protect your privacy by requiring your written permission to release your prescription history.  

How to Receive a Copy of Your Prescription Records

1. Download the authorization form in English or Spanish:  
   • English: Authorization for Release of Health Information  
   • Spanish: Autorizacion para Divulgar Datos de la Salud  
2. Print the form and fill it out completely. Be sure to sign and date the form because we cannot release your records without that information. We may return incomplete forms to you to finish.  
3. You may request prescription records for someone else, if you are the patient’s legally appointed representative, such as court-appointed guardian. See the form for details about attaching proof of your authority to act on the patient’s behalf. 
4. Return the completed form with any necessary attachments. We will send your records within 10 to 14 business days.  

Where to Send Your Authorization Form

You can bring your form and your photo ID to one of our pharmacy locations, and we’ll print a copy of your prescription records that day. Or, you may send your completed form by:

Postal mail to:

Johns Hopkins Home Care Group 
Attn: Patient Information Center 
5901 Holabird Avenue, Suite A 
Baltimore, MD 21224

Fax to:

410-367-2145