Medical Records Requests

Medical Records Requests

Your medical record is the physical property of the UMass Memorial Health clinical entity where you received your care. You have the right to review the record and to obtain a copy.

When you are discharged from any UMass Memorial Health entity, 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.

How to Request Your Medical Records

If you wish to receive a copy of your medical records for yourself, we encourage you to sign up for a MyChart account and follow the instructions to request records to your portal.  We cannot send records to a third party using the MyChart portal.

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 (PHI) form below. 

The Authorization for the Disclosure of PHI form is available in these languages:

• English
• Spanish
• Portuguese
• Albanian
• Vietnamese
• Arabic  

View instructions for completing the Disclosure of PHI form.

For Milford Regional Medical Records

Visit the Milford Regional Medical Center Medical Records Department or call 508-422-2487.

Send Completed Forms

You can email, fax, or use the postal service to complete your requests:

• medctrmr@umassmemorial.org
• Fax: 508-334-9717
• UMass Memorial Health
  c/o HIM Department
  67 Millbrook Street, Suite 200
  Worcester, MA 01606