Although your medical record data belongs to Edward M. Kennedy Community Health Center, the information contained in the record belongs to you. You may inspect the records or have copies made for a reasonable fee after signing an authorization.
To request copies of your medical record, download and fill out the Authorization to Release Medical Record and email it to email@example.com, or fax to 508-595-1161.
Edward M. Kennedy Community Health Center has a patient portal that does have some components of your medical information available for your review. If you have not enrolled, you can click on the For Patients link at the top of this page.
At Edward M. Kennedy Community Health Center, we respect your privacy. If you would like us to forward a copy of your medical record to a healthcare provider, we need your written authorization along with a legible copy of you valid photo ID. If you pick up your medical record in person, you will be required to show a valid photo ID.
When completing the authorization, please provide the date of service and the information you need, for example: Last Physical Exam.
There are 4 options to obtain copies of your medical records:
- Stop by any of the Health Center‘s sites and fill out an Authorization to Release Medical Record. These requests will be forwarded to the Medical Records Department to process. The form is also available in Spanish and Portuguese.
- Download and complete the Authorization to Release Medical Record and mail it to: Edward M Kennedy Community Health Center, 115 Northeast Cutoff, Building 2, Suite 200, Worcester MA, 01606.
- Download and email Authorization to Release Medical Record to firstname.lastname@example.org.
- Download and fax Authorization to Release Medical Record to 508-595-1161.
Is there a charge for medical records?
There is NO charge if we send the records directly to another health care provider.
There is a charge for copies of medical records you pick up or those which are mailed directly to you. This fee is legislated by the State of Massachusetts. Payment for copies can be made by cash, check or credit card. Consideration will be given to waive the fees for patient in cases of financial hardship.