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Medical Records Requests

Patients who wish to receive a copy of their medical records must complete an Authorization for the Disclosure of Protected Health Information Form and return the completed form to:

Marlborough Hospital
Medical Records Department
157 Union Street, Marlborough, MA 01752

Release of Information Forms are also available in the hospital's Admitting Department or by calling 508-486-5875 or e-mailing. Please allow seven to 10 days process requests. Completed forms may also be faxed to: 508-229-1216.

Additional Information

By Massachusetts General Laws, the hospital must maintain a medical record on every patient who receives care. Currently the law directs that medical record information is maintained for 30 years after discharge. The record itself belongs to the hospital, but patients do have the right to obtain a copy of their own medical record information.

Medical Record Requests

Medical records can be sent to another facility with the patient's written consent. Please allow seven days to 10 days process requests. For an automated directory of request options, call 508-486-5444. 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 individual, we do not fax medical information except in medical emergencies.

Forms (School, Insurance or Work)

Patients who have received a form from their school, insurance or work can receive a copy of their visit information to submit with their form. Please allow seven days to 10 days process requests. The Medical Records Department cannot complete forms.

Workers Compensation

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.