of Cases


Project SALAM


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Son of Mountains
Now Available

Rounded-Up Book Cover

Rounded Up Book
Now Available

Project Salam Letters
to Mr. Obama and Mr. Holder

Read Descriptions of
Each Letter

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text of each letter

February 17, 2009 Letter

April 4, 2009 Letter

May 21, 2009 Letter

July 8, 2009 Letter

November 16, 2009 Letter

March 8, 2010 Letter

February 15, 2012 Letter

News & Articles

Book Reviews

Link to Cases

Yassin Aref

Dr. Rafil Dhafir

Newburgh 4

Syed Fahad Hashmi

Sami Al-Arian

The Fort Dix 5

Other Cases

How to Obtain
Medical Records
From a Federal

List of Known Prisoners at
Terra Haute CMU

List of Known Prisoners at
Marion CMU

How to obtain Medical Records from a Federal Prison

Download Word document

  1. Obtain from the prisoner whose records you are requesting an original completed form BP-A621.060, Authorization for release of medical information (US Department of Justice, Federal Bureau of Prisons) which is available at the prison.
    1. Ask the prisoner to complete this form as follows:
      1. Check the box “release information to” filling in the name and address.
      2. Check “other” and write “requested information”
      3. Write the beginning date of incarceration to “present”
      4. Check “complete record”
      5. Sign and date
    2. Obtain staff witness’s signature
  1. Send the prisoner a blank form DOJ-361 Certification of Identity (US Department of Justice) filled out available at http://www.usdoj.gov/oip/forms/cert_ind.pdf
    1. Ask the prisoner to complete this form as follows:
      1. Full name of requester
      2. Citizenship Status
      3. Social Security Number
      4. Current address
      5. Date of birth
      6. Place of birth
      7. Sign and date
      8. Print the name and address of the person the information is to be released to.
    2. Have the prisoner return this form to you.


  1. Write a letter to the bureau of prisons using the prototype below.
    1. Be sure to type FREEDOM OF INFORMATION REQUEST as indicated.
    2. Include the originals of the two forms above, making copies for your records.
    3. On the envelope also write FREEDOM OF INFORMATION REQUEST
  1. If receive a letter from the counsel of the regional office for the prison saying that the records are not yet available due to a backlog of requests, google the name of the counsel and call him/her and they will transfer you to a clerk who can tell you the status of your request. 


  1. You will receive the records from the regional counsel.








Return Address

Director, Federal Bureau of Prisons
320 First Street
Washington, DC 20534


Dear Director,

I am requesting that you please send me copies of the complete medical record of [NAME] [PRISON ID #], an inmate in [NAME AND ADDRESS OF FACILITY].  These are to include records of all medical exams, history and physical, operative reports, consultations, progress notes, x-ray reports, laboratory reports, pathology reports, the diagnoses of any medical problems and the treatment thereof including the names, dosages and administration times of all medicines, any physical therapy or other prophylactic measures and any prospectively recommended medical treatment.

Enclosed is form DOJ-361 completed by [NAME OF INMATE]

Also enclosed is form BP-A621.060, Authorization for Release of Medical Information, completed by [NAME OF INMATE] and witnessed by staff at the prison.

Thank you for your assistance.