Faulkner Hospital- General & Visitor Information Directory

General & Visitor Information Directory Medical Records

Click here to print a Release of Information form to request your medical record, x-rays or films.

To request your medical record, x-rays or films:

Please request in person or send by mail a written request that includes your name, date of birth, social security number, and the approximate date(s) of service. Please state the purpose of the request and specify what part of the medical record you need. Please indicate who we should send the record to and include the address, or indicate if you will be picking it up. Please sign and date your request.

Send medical record requests to:		Send requests for x-rays to:
	Faulkner Hospital Correspondence 1153 Centre Street Boston, MA 02130 Phone: (617) 983-7960	Faulkner Hospital Radiology Film Library 1153 Centre Street Boston, MA 02130

	Send requests for mammography films to:
		Faulkner Hospital Faulkner-Sagoff Breast Imaging and Diagnostic Centre 1153 Centre Street Boston, MA 02130

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