Patient PrivacyHow to Request a Copy of Your Medical Records (Health Information)To obtain a copy or request that your health information (medical records) be sent to another health care facility/provider, insurance companies, attorneys, or another individual, etc., you must first submit a completed, signed and dated authorization form (PDF) to us. Please be advised that health information such as psychiatric, sexually transmitted diseases, HIV test results and related information, genetic, substance/domestic abuse, and sexual assault treatment records, etc. are considered sensitive information and are further protected by Federal laws. Therefore, if you would like such information to be released, you must specifically indicate so on our authorization form by initialing the respective category of information. Request Medical Records – Authorization Form (PDF) You may either fax or mail this form to us; our contact information is located on the top of our forms. Medical Records Contact InformationPhone: 617.414.4201 Business Hours: Monday thru Friday, 8:00 am to 4:30 pm You may mail or hand-deliver your authorization to: Boston Medical Center For general radiology images, films or medical records, please contact the Radiology Department directly at 617.414.5882. For the Breast Imaging records library, please contact: 617.414.4884. To contact the Release of Information Unit, call: 617.414.4201 or fax us at 617.414.4210 during regular business hours Monday thru Friday 8:00 am to 4:30 pm. After hours, please leave a message and your call will be returned promptly on the next business day. For patient bills, please contact Patient Financial Services directly at 617.414.1738 or 617.414.1618. |



