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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.

To Request a Copy of Your Medical Records

Print and complete the Authorization for Release of Health Information Form:
Download English
Download Spanish

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

Submit Your Completed Request Form

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.


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

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.

Request an Appointment

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