Medical Records

Our medical records department, called Health Information Services, complies with Mass. Eye and Ear hospital policy that the request for Medical Records must be received in writing, with your signature, before we can release the information to you or to your new physician.

Please print and complete the Patient Authorization Form and either fax or send to:
Massachusetts Eye and Ear Infirmary
243 Charles Street
Boston, MA 02114
Attn: Medical Records/Release of Information
Fax Number: 617-573-4380

For the period starting October 1, 2016, we have determined that the rate using these indices has increased by 3.67%, which would result in a maximum state-based rate for copying fees to be as follows:

  • $23.14 base charge for clerical and other administrative expenses related to complying with the request for making a copy of the record;
  • $0.78 per-page charge for the first 100 pages copied; and
  • $0.40 per-page charge for each page in excess of 100 pages.

Let us know where to send the information when you make your request. For additional information, please call 617-573-3356.