How to Access Medical Records from Bournewood
Consistent with current law, Bournewood Health Systems policy allows patients, their families, legal guardians or healthcare agents to request permission to either inspect a hospital record or obtain a copy of the discharge summary or other portion(s) of a record.
A request must be accompanied by the consent of the patient or other legally authorized person. Although most requests are granted, if a determination is made that inspection will result in serious harm to the patient, such access will be denied.
To request a copy of your medical record you may either download the Bournewood Health Systems Authorization For Release of Medical Records Form (PDF) or send a written request that includes:
Date of birth
Dates of service
Where you received treatment
Indicate the specific information that you are seeking
Specify Bournewood Health Systems in your request for information.
Information released may contain information protected under 42 CFR, Part 2 or substance abuse information and/or HIV related information.
Sign, date the written request for information.
Authorization forms may be mailed or faxed to the Health Information Services department but not sent electronically.
Please remember to sign and date your release form or written request and mail to:
Bournewood Health Systems
Health Information Services Department
300 South Street
Brookline, MA 02467
You may also securely e-fax your authorization request to 857-354-3339.
For more information, please call 617.676.3355.