Request a Medical Record

Medical Records Requests and Inquiries


For all requests or questions regarding patient medical records, please contact the Health Information Management Department:
Phone numbers: 978-630-6242 or 978-249-1138
Email: [email protected]

Fax Numbers for Medical Records Requests

  • Heywood Hospital: 978-630-6152

  • Athol Hospital: 978-249-1136

Requesting Your Medical Records
To receive a copy of your medical records or have them sent to another party, please complete the Authorization for the Release of Health Information Form  and return it via email or mail to:

Medical Records Department
Heywood Hospital
242 Green Street
Gardner, MA 01440
[email protected]

Amendments to Medical Records
If you believe any information in your medical record is incorrect, please complete the Request for Amendment form.

Patient Portal Access
For easy access to your medical records, we encourage you to sign up for a Patient Portal Account here.