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Medical Records

Your Medical Record is an important document protected by Health Privacy laws. If you wish to obtain a copy you will need to complete and sign an authorization form. This form also allows you to send and receive your medical information.

Mail the completed form to:

Correspondence, Health Information Management Department
Mount Auburn Hospital
330 Mount Auburn Street
Cambridge, MA 02138

Should you need immediate copies of your record call the Health Information Management Receptionist at 617-499-5028, Monday through Friday, 9 am to 4 pm (excluding holidays).

Fees

There is no charge to send reports directly to another hospital, nursing home or physician.

For personal copies of your medical record:

Single Processing fee $21.84 per request of your medical record
Additional processing fee $0.74 per page for the first 100 pages, $0.38 for each page over 100 pages

It is rarely necessary for a page by page copy of your entire medical record. You may obtain an abstract of your medical record, including discharge summary, history of illness, test results, medications, hospital course and discharge diagnosis. This abstract may also include pertinent reports, such as operative notes and significant test and procedures.

Privacy

Your privacy is our priority. The Privacy Notice, elements of which are mandated by federal law is lengthy and may be somewhat confusing. Federal law has changed little in the practice of the release of Protected Health Information (PHI), and the laws of Massachusetts governing PHI are stricter than federal law. An authorization to release PHI must be signed by the patient, or the patient's legal representative (guardian or person with durable power of attorney).

Birth and Death Certificates

You may not obtain copies of birth certificates or death certificates from the hospital. To obtain these, please contact the Cambridge City Hall or the Massachusetts Department of Vital Statistics.

If you have comments or questions regarding your medical records, you may call 617-499-5665, ext 3049. If you have printed the request for information, you may fax it to 617-499-5178. If you have questions about patient privacy, please contact Mount Auburn's Privacy Officer at 617-441-1665.

Obtaining Your Medical Record

Complete the Authorization to Use and Disclose Protected Health Information, to obtain a copy of your Medical Record.

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