Patient Rights & Responsibilities

• Choose a provider?
• Make an appointment?
• Get a referral?

• Access my records?

• Transfer my records?
• Resolve a problem with my bill?
• Address concerns about my care?
• Audience Guides

How Do I Access My Medical Record?

1. To review your medical record, 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 (EMR) or paper 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 the EMR or paper record by hand, but you may not remove any part of the record from the folder or make any changes.

Records of visits to the Mental Health Service and Dental Service are filed in those respective areas. Contact the individual services for access to those records.

How can I get a copy of my medical record?

1. State law requires that you download and complete the Authorization for Use and Disclosure of Protected Health Information form to obtain a copy of your medical record.
2. Fax the form to 617-258-0884, or mail it to the MIT Medical Medical Records Service, E23-023, 77 Massachusetts Ave., Cambridge, MA 02139.
3. There may be a fee for the release of your medical record.

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, 77 Massachusetts Avenue, 5-104, or call them at 617-253-4861.
• Want your parents to be involved in your care decisions
• Are traveling overseas and need a copy of your immunization record

How can I get a copy of my mental health record?

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

How can I have my medical record transferred to MIT from another doctor or medical facility?

1. Download and complete the Request for Protected Health Information to MIT Medical form.
2. Send it to the doctor or facility you wish to obtain your medical record from.

What if my medical 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.
4. You will be notified when a decision is made about amending your records.

Related Links

Dental Service
Mental Health
Student Support Services