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

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