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
Effective October 1, 2012 the medical record copy fees increase in Massachusetts by 3.8% in accordance with ch. 111, §70. The new rates, approved by the Department of Public Health, are as follows:
- $20.59 base charge for the clerical and other administrative expenses related to complying with the request for a copy of the record
- $0.70 per page for the first 100 pages copied
- $0.36 per page for each page thereafter
Let us know where to send the information when you make your request. For additional information, please call 617-573-3356 or 617-573-3931.
It can take four to six weeks to receive the requested information if you were a patient here more than a few years ago since the information has to be obtained from archived records.
Page updated: 09/25/12