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Patient Privacy

Health Information Release Forms

*Note: To view PDF forms, download the latest version of Adobe Acrobat Reader.
If you experience any difficulties downloading the forms, please contact 617.414.4201.

For Questions or Assistance Making an Appointment

Call: 800.841.4325 toll-free

Boston Medical Center
Yawkey Ambulatory Care Center
ATTN: HIPAA Privacy Officer
850 Harrison Avenue, BR-09B
Boston, MA 02118

Medical Records Office for Mailing or Hand Delivering Authorizations or Picking Up Documents 
Boston Medical Center
Health Information Management (Medical Records)
Release of Information Unit,
Basement Yawkey Building
850 Harrison Avenue
Boston, MA 02118


Helpful Phone Numbers

Main Switchboard
Call: 617.638.8000

General Information
Call: 617.638.6800

Medical Records
Call: 617.414.4201

Patient Billing
Call: 617.638.6157

TTY
Call: 800.439.2370

More Helpful Phone Numbers


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