Medical Records Request Form

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Medical Information
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Your Information

Date of Birth:

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Phone (W)or(C):

Address

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Are you getting records from another provider or facility for LCHC?

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If you are human, leave this field blank.

Questions?

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

This health center receives HHS funding and has Federal Public Health Service (PHS) deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. LCHC complies with USDA guidelines as an equal opportunity employer.

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LCHC 269 Union St. Lynn, MA 01901

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The Lynn Community Health Center Promise

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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.