Request Medical Records

Request Medical Records

To request a copy of your medical records, please complete the relevant form below and return it to Dimock. You may:

  1. Fax it to 617-442-2057
  2. Email it to medicalrecordrequests@dimock.org
  3. Mail a hard copy to “Medical Record Requests/Attention: Medical Records Department 55 Dimock Street Roxbury, MA 02119”

The Dimock Center completes all records requests within 30 days.

If you have questions, please call 617-442-8800 x1268.

Forms

Request Medical Records: English | Spanish

Request Behavioral Health Records: English | Spanish