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Medical Record Release

At Baystate Health the Health Information Management (HIM) departments fulfill all requests for medical information. Requests for records should be made on the Authorization for Release of Information form. Download the form by clicking on one of the following links:

 

Authorization for Release of Information

 

Autorización Para la Diseminación de Información

 

  • Once you complete the Authorization for Release of Information form, you may mail, fax or personally deliver it to one of our HIM departments.
  • Upon release of this valid authorization, HIM staff will be happy to provide you with the requested records.

 

Record Release Fees

Baystate Health does not charge a fee for medical records sent to a health care provider at the request of the patient for the purpose of continuing care.

 

Any other copies requested by the patient or by attorneys, insurance companies, subpoenas or Workers Compensation will be charged at the rate of $0.74 for each page 1 – 100 and $0.38 for each page 101 and greater. Payments may be made in the form of cash or check; credit cards are not accepted.

 

CONTACTS FOR MEDICAL RECORD REQUESTS

 

 

Baystate Medical Center
Mail Health Information Management
759 Chestnut Street @ Whitney Avenue
Springfield, MA 01199
ATTN: Correspondence
Fax: 1-413-322-4346 or 1-413-794-4759
In person:

You are welcome to stop by either of our front desk locations:

  • Main Hospital, Springfield Ground East
  • 361 Whitney Avenue, Holyoke, MA 

 

Office hours are Monday through Friday, 8 am to 5:00 pm

 

Baystate Medical Center directions

Holyoke directions

 

Phone: 1-413-794-2460


Baystate Franklin Medical Center
Mail: Health Information Management
164 High Street
Greenfield, MA 01301
Fax: 1-413-773-2091
In person:

You are welcome to stop by our Medical Record department in the hospital on the Ground Floor (near the ER).

Office hours are Monday through Friday, 8 am to 4:30 pm

Directions

Phone: 1-413-773-2353


Baystate Mary Lane Hospital
Mail: Health Information Management
85 South Street
Ware, MA 01082
Fax: 1-413-967-2199
In person:

You are welcome to stop by our Medical Record department in the hospital.  Ask for directions at the front desk.

Office hours are Monday through Friday, 8 am to 4:30 pm

Directions

Phone: 1-413-967-2143