Request a Medical Record // Heywood Hospital

To request a copy of your medical records, an Authorization form must be completed and sent to:

Medical Records Department
Heywood Hospital
242 Green Street
Gardner, MA 01440

Or faxed to the Medical Records department at 978-630-6152.

If you would like to email your request, please use the patient portal to communicate with Medical Records and send your form for prompt attention.

Download the Authorization Form

Call Heywood Medical Records 978-630-6242 (Monday - Friday, 8 am- 4:30 pm) and select option 3 to request the release of medical records

Email Medical Records

Request a Medical Record

Authorization for the Release of Medical Information Form

Medical Records Department