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.

Download Form

(en espanol)

Submit Your Completed Request Form

 [March 19, 2020] Due to the coronavirus and for your safety and that of our staff,  the Medical Records Department is not accepting walk -ins or allowing pick ups for Release of Information. If you need to request your medical records  or have any questions please call our direct line 781-586-6659 for assistance.  Thank you for your patience during this difficult time .

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 781-598-8136.

To submit via email: email


Call our Medical Records Department at 781-586-6659 or email