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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 Select Practices For Select Practices

For Select Practices
More Information

For Questions or Assistance Making a Medical Appointment 

Call: 800.841.4325 toll-free


Call or Email
Privacy Officer

1.800.586.2627

DG-PrivacyOfficer@bmc.org

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


Call Medical Records
617.414.4213


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 for
general information
Call: 617.638.8000

Office of Patient Advocacy
Call:  617.414.4970
 
Patient Billing
Call: 617.638.6157

TTY
Call: 800.439.2370

More Helpful Phone Numbers


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