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Any requests for or inquiries about patient medical records should be directed to the Health Information Management Department at 508-334-5700 or email firstname.lastname@example.org.
If you feel that the information contained in your medical record is incorrect, please fill out the Request to Amend Protected Health Information Form.
Your medical record is the physical property of the UMass Memorial Health clinical entity where you received your care. You have the right to review the record and to obtain a copy.
When you are discharged from any UMass Memorial Health entity, your medical record still must be completed by all providers involved in your care prior to being copied and released to you. This process can take up to 30 days. When needed, information may be released to a physician or medical facility for any follow-up and continued care you receive.
If you wish to receive a copy of your medical records for yourself, we encourage you to sign up for a MyChart account and follow the instructions to request records to your portal. We cannot send records to a third party using the MyChart portal.
If you wish to receive a copy of your medical records or have the records forwarded to another party, please complete the Authorization for the Disclosure of Protected Health Information Form below.
Authorization for the Disclosure of Protected Health Information (English)
Authorization for the Disclosure of Protected Health Information (Spanish)
Authorization for the Disclosure of Protected Health Information (Portuguese)
Authorization for the Disclosure of Protected Health Information (Albanian)
Authorization for the Disclosure of Protected Health Information (Vietnamese)
Authorization for the Disclosure of Protected Health Information (Arabic)
Please make sure that the authorization is filled out completely for your request to be complied with in a timely manner:
Health care proxy agents: If you are requesting records as a HCP agent, the health care proxy must be invoked by a provider and must be made for continuing care purposes.
Deceased patients’ medical records: If you are requesting an autopsy or medical records of a deceased patient, you must submit an authorization along with one of the legal documents obtained through the Probate Court:
Harrington Hospital Medical Records: Contact the Harrington Hospital Medical Records Department at 508-765-3085
Billing records: contact our Billing department at 508-334-1840
Radiology images: please follow up with the Radiology department of the facility the services were provided:
A fee for photocopies may apply per Massachusetts General Law, Chapter 111, Section 70.” Upon receipt of a signed Authorization Form, UMass Memorial will process the request within seven to 10 business days and send an invoice for payment of the copies. Please note: A request may take up to 30 days if you are requesting records over 10 years old.
If you have any questions, please contact the Health Information Management department directly: