We are committed to keeping your Protected Health Information (PHI) private, and we are required by law to respect your confidentiality. If you would like a copy of your medical records, please submit a request via fax. Our offices are opened from 9:00 a.m. to 4:00 p.m., Monday through Friday if you have any questions.
When you send a request to receive your medical records by fax, please be sure to provide a valid government-issued picture ID such as a driver’s license, identification card, passport, or comparison of signatures documented in the medical records.
If you are a provider seeking medical records, please fax your request to 978-794-9303.
All other requesters seeking medical records, please fax your request to 978-659-6027.
If someone other than the patient is requesting to fax or mail the records, that person needs to provide a government issued picture ID and an original signed authorization letter from the patient. There may be a charge for creating a copy of your records.
Click below to download the form:
English – Methuen, MA
Spanish – Methuen, MA
