Patient Portal

Request a Medical Record

To request a copy of your medical records, an Authorization form must be completed and sent to the Medical Records Department at Heywood Hospital, 242 Green Street, Gardner, MA 01440 or faxed to the department at (978) 630-6152. I

f you would like to email your request please use the patient portal to communicate to medical records and send your form for prompt attention.

Click here to download a copy of the Authorization for the Release of Medical Information Form

For more information, please call our Medical Records Department at (978) 630-6232 (8 am - 5 pm on Monday-Friday) or email the Director of Health Information Management,  donna.walker-thomas@heywood.org.