Medical Records Request

How to Access Your Medical Records

As a patient at Lynn Community Health Center, you have a right to inspect and/or obtain a copy of your medical records, or have copies of your medical records sent to another facility.
The health center requires a completed and signed Authorization for the Release of Information Form before releasing any documents. In certain cases, a patient’s physician may also be required to approve a request.
Medical records released to individuals must be picked up in person. Medical records released to another facility will be mailed directly to that facility.

Download the form to request your Medical Records.

Medical Record Request Form - English
Medical Record Request Form - Spanish

What can we help with?

LCHC’s Medical Records Department General Inquiry

Contact Medical Records Department

To Request a Copy of Your Medical Records

Complete the Authorization for Release of Health Information Form (choose language of form to start).

Medical Records Request Form
Formulario de Solicitud de Registros Médicos

The form must be completed, signed and dated by the patient or his or her legal representative.

Have Questions?

Call our Medical Records Department:
781-586-6659.

More Ways to Connect

To submit via mail:
Send your completed form to
Medical Records Department
Lynn Community Health Center
269 Union Street, Lynn, MA 01901

To submit via fax:
Fax your completed form to the Medical Records Department at 781-598-8136.

You can request medical and behavioral health appointments in MyChart!

If you are having trouble with MyChart or are requesting a different kind of appointment, you can fill out this form and our Patient Ambassadors will contact you.

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