Public Records Request Form

The MetroHealth System is pleased to provide the public with any public records not exempted from disclosure by law. You are not legally required to complete a written request for public records, but filling out a written request enhances our ability to identify, locate, and deliver the requested public records.

Please use the space below to legibly print a clear description or identification of the particular records you wish to receive. Be sure to include as much information as possible to describe the records. If the request is unclear or too broad, then we may be unable to provide you with the records.

Requestor Information
If you provide us with your name, address, and telephone number, then we can fulfill the request more efficiently. This is not a legal requirement, and you do not need to identify yourself. We will make the records, if any, available without such identification; however, we would appreciate if you would provide the requested information in the space below in order to facilitate our response to your request.