Request Your Medical Records
Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.
We can assist you with the following —
- access to your medical records
- obtaining copies of your medical records
- requests to amend your medical records
- completion of forms for benefits, insurance, and other reasons
The Release of Information Staff are experts in our patients' rights and their medical records.
Locations
Brockton: Building 3, Basement, Room C012
Jamaica Plain: Main Building, Basement, Room DB-112
West Roxbury: Orea Building, Ground Floor, Room GB-104
How to Request Information
To request a medical record, please use one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the appropriate campus:
VA Medical Center
Release of Information
940 Belmont Street
Brockton, MA 02301
VA Medical Center
Release of Information
150 S. Huntington Avenue
Jamaica Plain, MA 02130
VA Medical Center
Release of Information
1400 VFW Parkway
West Roxbury, MA 02132
Because forms must contain an original signature, e-mailed forms cannot be accepted.
Requests for records will take approximately 10-14 days to process.
Fees
There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.
