• Choose a provider?
• Make an appointment?
• Get a referral?
• Recognize an MIT Medical employee for outstanding service?
• Share my story as a patient?

• Access my records?

• Find forms?
• Resolve a problem with my bill?
• Communicate concerns about my care?
• Audience Guides

How Do I Access My Records?

The Medical Records Service stores your electronic medical record, while the Dental Service and the Mental Health and Counseling Service maintain their records separately. Click on one of the categories below:

• Medical record (access and/or transfer)
• Dental record (access and/or transfer)
• Mental health record (access and/or transfer)
• Requesting a change to your medical or mental health record

Medical record (access and/or transfer)

Viewing your medical record at MIT Medical:

1. Call 617-253-4906 to schedule an appointment with the Medical Records Service.
2. When you arrive for your appointment, you will be asked to present two forms of identification, one of which must be a government-issued ID such as a driver’s license, state-issued photo ID card, or passport.
3. You will be asked to sign a logbook.
4. In the presence of a Medical Records employee, you will be allowed to review your electronic medical record.
5. If you have any questions about the content of the record, you will be referred to the appropriate care provider.
6. You may copy information from your electronic medical record by hand, but you may not remove any part of the record or make any changes.

Getting a copy of your MIT medical record:

1. State law requires that you download and complete the Authorization for Release of Protected Health Information (Medical Record) by MIT Medical to obtain a copy of your medical record.
2. Fax the form to 617-258-0884, or mail it to MIT Medical's Medical Records Service, E23-023, 77 Massachusetts Ave., Cambridge, MA 02139. Note: there may be a fee for the release of your medical record.

Your full record will be ready for you to pick up in three to four weeks. You generally do not need to get a printed copy of your entire medical record if:

• You need to be excused from a class or exam because of illness. In such cases, visit Student Support Services in Room 5-104 or call them at 617-253-4861.
• You want your parents to be involved in your care decisions.

Immunization record only—If you plan to travel overseas, you can get a copy of just your immunization record, but you still need to fill out the Authorization for Release of Protected Health Information (Medical Record) by MIT Medical. Your immunization record should be available in one to two business days.

Getting your medical record from another provider sent to MIT:

1. Download and complete the Authorization for Release of Protected Health Information (Medical Record) to MIT Medical.
2. Send the form to the doctor or facility from whom you wish to obtain your medical record.

Dental record (access and/or transfer)

Getting a copy of your MIT dental record:

1. Download and complete the Authorization for Use and Disclosure of Protected Health Information – Dental Record.
2. Fax the form to 617-258-5500, or mail it to MIT Medical's Dental Service, Room E23-530, 77 Massachusetts Ave., Cambridge, MA 02139.

Mental health record (access and/or transfer)

Getting a copy of your MIT mental health record:

1. Download and complete the Authorization for Release of Protected Health Information (Mental Health Record) by MIT Medical.
2. Fax the form to 617-253-0162, or mail it to the Mental Health and Counseling Service, MIT Medical E23-368, 77 Massachusetts Ave. Cambridge, MA 02139.

Having another provider send your mental health record to MIT:

1. Download and complete the Authorization for Release of Protected Health Information (Medical Record) to MIT Medical.
2. Send it to the doctor or facility from whom you wish to obtain your medical record.

Requesting a change to your medical or mental health record

If you need to change or correct your name, date of birth, gender, or medical record number:

1. Download and complete the Patient Information Change/Correction Form.
2. Attach copies of the documentation specified on the form.
3. Drop off the form in person or mail it to MIT Medical's Medical Records Service, E23-023, 77 Massachusetts Ave., Cambridge, MA 02139.

If you feel that specific medical information in your record is incorrect:

1. Download and complete the Request for Amendment of Protected Health Information form.
2. Specify the information you want changed.
3. Sign the form and mail or fax it to the Medical Records Service, which will forward it to the MIT Medical provider for his or her review.
4. Medical Records will notify you when a decision is made about amending your record.