To request a copy of your medical records, please complete an Authorization for the Disclosure of Protected Health Information Form and return the completed form to:
Health Information Management
201 Highland Street, Clinton, MA 01510
Questions: Contact 978-368-3801 or 978-368-3839, or email.
More Information about Medical Records
By Massachusetts General Laws, hospitals must maintain a medical record on every patient who receives care. The record itself belongs to the hospital, but patients do have the right to access their own medical information. All health care providers at Clinton Hospital use the same chart in the best interest of patient care.
Medical Record Requests
Medical records can be sent to another facility with the patient's written consent. Such requests may take up to two weeks to complete. Written requests for copies of medical records for personal use will also be honored in compliance with Massachusetts General Laws. A fee for copying will be charged.
Faxing Medical Information
To decrease the likelihood of a fax being sent to an unintended recipient or an individual, we do not fax medical information except in medical emergencies.
Forms (School, Insurance or Work)
Patients who need a form completed should complete their portion of the form and sign an authorization for the release of information. Please let us know when the form will be picked up or if it should be mailed. Please allow one week for the forms to be processed.
Massachusetts General Laws require that a medical report pertaining to any injury that appears to be compensable under worker's compensation be furnished to the employee, employer and insurer within 14 days of completion of examination. Please note, that if a patient denies release of information, it may be necessary to adjust his/her account to a self-pay status.