Accessing Your Medical Records
To request a copy of your medical records, an “Authorization For Release or Use of Protected Health Information” form must be completed, and you must provide a valid photo identification (ID).
For medical record requests or questions, please contact our Health Information Management (HIM) Department. You can reach us by phone, in person, by fax, or by email at HIM@fhcw.org.
- Phone Number: 508-860-7923
- Hours of Operation: Monday – Friday: 8:30 am – 5 pm
- Location: Ground Floor on 26 Queen Street, Worcester, MA 01610
Please click on the link below to access, download, and print the “Authorization to Use or Disclose Protected Health Information” form.
Click here to download the Authorization form
You can return the completed “Authorization to Use or Disclose Protected Health Information” form by the following methods:
Mail To:
Medical Records Department
Family Health Center of Worcester
26 Queen Street
Worcester, MA 01610
Fax To:
Medical Records Department at 508-860-7925
Email To:
HIM@fhcw.org
Medical records requests typically take 30 business days to fulfill. You may be charged a fee for copying medical records.
