Medical Record Request

COVID-19 Update

Due to the coronavirus pandemic, we are temporarily restricting on-site access to the Medical Records department. Please call 617-464-7540 to request a copy of your records, or fax/mail the form below to intiate a request. Walk-ins will not be accomodated at this time. 

Please visit the MyChart Document Center to see what records are already available to you or to start a request rather than calling.

You can request your medical record at any time by sending a Release of Information (ROI) form to our Medical Records department. All requests must be made by fax or U.S. mail. For your protection, email requests cannot be honored at this time.

To obtain your medical records:

  1. Download and print this form: PDF icon Release of Information
  2. Fill in all required information for processing
  3. Make sure you have signed and dated the form for release of this information
  4. Send your completed form to our Medical Records department by:


Mail

SBCHC Medical Records Department
386 West Broadway
South Boston, MA 02127
Phone: (617) 464-7543

FAX

SBCHC Medical Records
Fax: (617) 464-7680
Phone: (617) 464-7543
 

To speak to a member of our internal Medical Records team, please call (617) 464-7540 Monday through Friday, 9:00am - 5:00pm.