Emerson Hospital’s Medical Records Department is dedicated to maintaining your medical records and keeping your health information private and secure in accordance with your rights as a patient, and with federal and state regulations.
Massachusetts law requires that we maintain hospital records for 20 years following your last visit. These records include laboratory and radiology reports, emergency department visits, outpatient surgeries, and inpatient stays at Emerson Hospital. The Medical Records Department does not have access to individual physician office records or any Emerson Urgent Care Location records.
How to obtain a copy of your medical record
If you have been a patient at Emerson Hospital, you may obtain a copy of your record from the Medical Records Department, Release of Information Section (ROI), located on the 3rd floor of the East Building. You will need to sign an Emerson Hospital Authorization to Release Personal Health Information (PHI) Form and provide us with a driver's license or other photo ID for verification.
As an alternative, you can print out this form
and fax it to 978-287-3652
, mail it to the address at the top of the form or scan and email it to firstname.lastname@example.org
. Be sure to fill out this authorization form completely, including your date of birth, dates of service being requested, and what the records are being obtained for (i.e., personal, physician visit, legal, etc.). Please include your phone number as well as the complete mailing address and phone number for where the records are being sent.
Please allow 7 to 10 business days for a standard request to be completed. A fee may be charged for copies of your medical record. If you need to speak to a ROI Coordinator, please call 978-287-3907
between 8:00 a.m. and 4:30 p.m., Monday through Friday, or email ROI@emersonhosp.org
. We will mail your records to the address specified on the release of information form. To protect your privacy, we do not fax or email medical records.
How to obtain a birth certificate
If you wish to obtain a copy of a birth certificate, please call the town clerk’s office in the town you were living in at the time of the birth. You can also contact the Concord Town Clerk’s Office at 978-318-3080, or by mail at: Concord Town Clerk, PO Box 535, Concord, MA 01742. The town’s website is www.concordma.gov. You can also send an email to email@example.com.
The clerk can provide you with a certified copy of the birth certificate. A fee for this service may be charged. Paternity papers may also be completed post-birth at the town clerk's office.