Overview
Our Medical Records Service securely stores your electronic medical records and safeguards your medical privacy in accordance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Visit our forms and documents section to download paperwork to request your medical record.
Visit our frequently asked questions page for more information about how to access or transfer your medical records.
Visit MIT Covid Apps for information about COVID-19 vaccine distribution at MIT.
MIT Medical’s Medical Records Service is available by phone, fax, or email.
Resources & Links
Medical record forms
E-sign available via Adobe Acrobat.
- Authorization for Release of Protected Health Information
(Medical Record) by MIT Medical - Authorization for Release of Protected Health Information
(Dental Record) by MIT Medical - Authorization for Release of Protected Health Information
(Mental Health Record) by MIT Medical - Authorization for Release of Protected Health Information
(Mental Health Record) to MIT Medical - Request for Amendment of Protected Health Information
