Our Medical Records Service keeps patient records for all MIT Medical services, except Dental and Mental Health. For access to those records, please contact the services directly. Federal regulations require that you submit a written request for access, to or copies of, your MIT Medical records and X-rays.

To review your medical record:
Please read Access to Medical Records (pdf).

To obtain a copy of your medical record:
Obtaining a copy of your medical record requires the completion of an Authorization for Use and Disclosure of Protected Health Information (pdf). Download and complete the form, and then fax (617-258-0884) or mail it to the Medical Records Service (Bldg. E23-023, 77 Massachusetts Ave. Cambridge, MA 02139). Please be advised that there may be a fee for the release of the medical record.

To have your medical record transferred from another facility to MIT Medical:
Download and complete the form Request for Protected Health Information to MIT Medical (pdf) and forward it to the facility you wish to obtain your medical record from.

To have your Mental Health medical record transferred from another facility to MIT Medical:
Download and complete the form Request for Protected Health Information to MIT Mental Health Service (pdf) and forward it to the facility you wish to obtain your medical record from.

To request an amendment to your records:
Complete the form Request for Amendment of Protected Health Information, specifying which information you want amended, sign it, and mail or fax it to the Medical Records Service. We'll notify you when a decision has been made.