Medical Records Requests

The Health Information Management Department (HIM) can assist you with obtaining copies of your medical records related to your care and treatment at Anna Jaques Hospital. To request Copies of your Medical Records, you must submit a properly filled out, signed and dated form, and mail it to the Health Information Management Department. Please Note: the requestor must be the patient or the patient’s legal guardian/legal representative.

If you are in immediate need of copies or have questions, please contact our Release of Information Specialist with medical request inquiries at (978) 463-1155 and press option 1, Monday through Friday only from 8:30AM-4:00PM (excluding holidays).

If you are requesting copies for the purpose of continued care, please state this in your request and an abstract of your record will be provided at no charge. Otherwise, a fee may be associated with your request. All records will be mailed to the address specified on the Release of Information Authorization Form. To protect patient privacy, they will not be faxed except in the case of emergency care to the provider; we do NOT email patient information under any circumstances.

HIM does NOT provide radiology films or copies of hospital bills. These requests should be directed as follows:

For request of Radiology Films, call (978) 463-1120. For requests of copies of Hospital Bills, call (978) 834-8080