Medical Record

Medical Record

Request a copy of your medical record

This section provides the forms to be used to request IRCCS ISMETT medical records, together with the self-certification form to be completed and signed where required.

You can submit a request using one of the following methods:

  • In person at the Medical Records Office, every day from Monday to Friday, from 8:30 a.m. to 12:30 p.m.
    .
  • By email to cartellecliniche@ismett.edu
  • By fax to +39 091 2192232
  • By registered mail addressed to Ufficio Cartelle Cliniche di ISMETT, Via Ernesto Tricomi 5, 90127 Palermo

The delivery of a copy of the medical record, according to the method selected in the request form, takes place, pursuant to Article 4, paragraph 2, of Law 24 of 8 March 2017, within seven days from the submission of the request by eligible applicants, in accordance with the regulations governing access to administrative documents and the provisions of the Personal Data Protection Code […].

Any supplementary documentation or additions will, in any case, be provided within a maximum period of thirty days from the submission of the aforementioned request.

Medical Records Release Times

Timeframe Medical Record 2020

Download file (XLSX, 111.61 KB)

Timeframe Medical Record 2021

Download file (XLSX, 114.12 KB)

Timeframe Medical Record 2022

Download file (XLSX, 115.43 KB)

Timeframe Medical Record 2023

Download file (XLSX, 117.98 KB)

Timeframe Medical Record 2024

Download file (XLSX, 117.83 KB)

Timeframe Medical Record 2025

Download file (XLSX, 83.71 KB)

Timeframe Medical Record 2026

Download file (XLSX, 46.05 KB)

Translation Services

IRCCS ISMETT is a bilingual center established through a partnership between the Sicilian Region and UPMC. The partnership with the American healthcare organization, together with the continuous transfer of know-how from Pittsburgh to Palermo, represents a guarantee of the high-quality standards provided to patients. IRCCS ISMETT physicians are, in constant contact with their UPMC colleagues with the aim of delivering excellence in patient care.

To facilitate interaction between Italy and the United States, medical records and clinical documentation are prepared partly in Italian and partly in English.

IRCCS ISMETT’s Language Services Department provides a translation service, with delivery of the translated document within 45 days, unless different organizational requirements apply. Translated copies are reviewed and approved by IRCCS ISMETT physicians before being provided to the requester.

The hospitalization certificate, usually required for an employer or insurance company, may be requested from IRCCS ISMETT’s clinical administrative staff before discharge.

Forms

Medical Record Copy Request Form

Download file (DOC, 89.5 KB)

Report Copy Request Form (Annex 12)

Download file (DOC, 94 KB)

Medical documentation self-statement form (Annex 4-bis)

Download file (PDF, 125.25 KB)

English medical documentation self-statement form (Annex 4-bis)

Download file (PDF, 75.43 KB)