Medical Record Requests

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  • Fill in all required information for processing

  • Make sure you have signed and dated the form for release of this information

Send Your Completed Form to Our Medical Records Department

Mail

Mattapan Community Health Center

1575 Blue Hill Ave

Mattapan, MA 02126

Fax

MCHC Medical Records

Fax: (617) 296-8469

To speak to a member of our internal Medical Records team, please call:

Monday through Friday:

8:00 AM – 4:30 PM

Additional Information

You may request your medical record at any time by sending a Release of Information (ROI) Form to our Medical Records Department.

Requests may be submitted by:

  • Fax

  • U.S. Mail

  • In person at the health center by completing the Medical Records Request Form

For your protection, email requests cannot be accepted at this time.