For a copy of your Medical Record, please submit a letter of request including the following information:
This secure, electronic sharing system offers significant benefits, including:
This form meets HIPAA requirements (the Health Insurance Portability and Accountability Act of 1996 – 45 CFR Parts 160 and 164).
Please be sure to fill out the form completely and to allow sufficient time to process your request. If you need the record for an upcoming appointment, please specify your time frame to assist in expediting your request.
There is a charge for this service, unless your record is being sent directly to a physician. Please note, this fee is waived if sending the record abstract only.
Main Department Hours: 8:00 AM to 4:30 PM
Correspondence Section: 9:00 AM to 3:00 PM
Health Information Management
125 Parker Hill Avenue
Boston, MA 02120
Telephone: (617) 754-5082
Fax: (617) 754-6419