How to Get Your Medical Records
Just make a request through MyCHArt
Don't have MyCHArt?
- Complete a Medical Record Authorization Form: English | Haitian Creole | Portuguese | Spanish
- Then, send it to us:
- Fax to CHA Health Information Management: 617-381-7179
- Mail to CHA Medical Records - 103 Garland Street Everett, MA 02149
- Email us at HIM3@CHAlliance.org a scan of your hand-signed form as a PDF file
- Please note, we no longer offer walk-in services
There may be a cost for copies:
- If you want copies, we will charge a reasonable fee for them. We also charge postage costs, if you want us to mail the copies to you.
Have Questions?
Call us at 617-381-7126
Transfer Your Records to CHA
Please use our Authorization to Communicate and Obtain PHI form.
English | Haitian Creole | Portuguese | Spanish
This lets CHA communicate with or obtain medical records from other providers and healthcare organizations.
You can print these forms and fax or mail them to us
Health Information Management (HIM) Department
- Main Phone: 617-381-7126
- Fax: 617-381-7179
- Mailing address: 103 Garland Street Everett, MA 02149
Request an Amendment to Your Medical Records
If you would like to amend your medical record due to incomplete or inaccurate information, please use the following form:
Request an Amendment of Protected Health Information:
Please send the completed form to this address:
Cambridge Health Alliance Privacy Office
103 Garland St.
Everett, MA 02149