Medical Records Request

How to Access Your Medical Records

As a patient at Lynn Community Health Center, you have a right to inspect and/or obtain a copy of your medical records, or have copies of your medical records sent to another facility.

The health center requires a completed and signed Authorization for the Release of Information Form before releasing any documents. In certain cases, a patient’s physician may also be required to approve a request.

Medical records released to individuals must be picked up in person.  Medical records released to another facility will be mailed directly to that facility.

To Request a Copy of Your Medical Records

Print and complete the Authorization for Release of Health Information Form.

The form must be completed, signed and dated by the patient or his or her legal representative.


Submit Your Completed Request Form

To submit in person:  Please leave your completed form at the front desk of our main site at 269 Union Street, Lynn during business hours.

To submit via mail:  Send your completed form to Medical Records Department, Lynn Community Health Center, 269 Union Street, Lynn, MA  01901

To Submit via fax:  Fax your completed form to the Medical Records Department at 781-598-1050. 

PLEASE DO NOT EMAIL THIS FORM.

Questions?

Call our 781-581-3900 and ask to speak to someone in the Medical Records Department.