Medical Records Requests

Your medical record is the physical property of UMass Memorial Medical Center; however, you have the right to review the record and to obtain a copy.

When you are discharged from the Medical Center, 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 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)

A fee for photocopies may apply per Massachusetts General Law, Chapter 111, Section 70.”  Upon receipt of a signed Authorization Form, UMass Memorial Medical Center will process the request within seven to 10 business days and send an invoice for payment of the copies.

If you have questions, please call Health Information Management at 508-334-5700, option 1, or send an email to medicalrecords.medctr@umassmemorial.org. You can send your request in via fax as well to 508-334-9721.