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Planned Parenthood of Maryland is committed to protecting your privacy when it comes to your healthcare and medical records.

Medical Records

We need your permission to provide your medical records to persons outside of Planned Parenthood of Maryland. This could be to yourself, another provider's office, or to a third party of your choosing. We also need your permission to get your records from another provider.

To request records be provided from Planned Parenthood of Maryland to another provider or to have another provider send your records to Planned Parenthood of Maryland:

  • Complete this Authorization Form for Release of Health Information
  • Ensure all areas of the form are completed, including:
    • Patient information
    • To whom the information is to be disclosed and for what purpose
    • Preferred delivery method of information
    • What information/dates of service are being requested
    • Signature and date
  • Return the form to Planned Parenthood of Maryland:
    • Fax to 877-346-0108
    • Email to [email protected]
    • Mail to PPM: Medical Records, 330 N. Howard Street, Baltimore, MD, 21201
    • Bring the completed form to the Planned Parenthood of Maryland Health Center where you are a patient

Unsecured email disclaimer: Communications via email over the internet are not secure. Although it is unlikely, there is a possibility that information included in emails can be intercepted and read by other parties besides the person to whom it is addressed.


If you call us to request test results or confirm an appointment, we will ask you specific identifying questions before releasing information or acknowledging that you have an appointment with us. You can also request that we only communicate with you in a certain manner, such as through our patient portal or to a specific phone number.

During your initial visit and periodically thereafter, we will ask you how you wish to receive communications about your health care or for any other instructions on notifying you about your health information. We will accommodate all reasonable requests.

If you are covered by someone else's insurance (such as a partner, spouse, or parent), information about your visit may be shared with the policy holder.  If sharing that information could put you at risk, you have options. 

The Request for Confidential Communications Form is a new way for you to protect your privacy when you access care.  It allows those who feel they may be endangered by the disclosure of medical information to divert insurance communications to an alternate mailing address or email.  Once you have completed this form, you can send it to your insurance provider and work with them to request your communications be sent to another address.

Learn more about PPM's Leadership on SB 790  


Your health care information is protected by the federal law called the Health Insurance Portability and Accountability Act (HIPAA). The privacy and security provisions of HIPAA require us to:

  • Make sure that health information that identifies you is kept private
  • Make available our Notice of Health Information Privacy Practices (NHIPP)
  • Follow the terms of the NHIPP that is currently in effect

Under HIPAA, you have certain rights to:

  • Inspect and copy health information that may be used to make decisions about your care
  • Request an amendment to your health information if you feel the health information we have is incorrect or incomplete
  • Request a list of any disclosures of your health information we have made, except for uses and disclosures for treatment, payment, and health care operations as defined in the Notice of Health Information Privacy Practices.
  •  Request a restriction or limitation on the health information we use or disclose about you for treatment, payment, and health care operations

Please contact the Medical Records Department to get the appropriate forms for any of the above.  If you have any questions, please call 443-853-7359. 


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