Obtaining Your Own Medical RecordsIf you have received treatment at North Shore Medical Center and would like to obtain a copy of your medical records, please fill out one of the forms below.
English version of Release of Information form Spanish version of Release of Information formAfter you complete the form you have two options--you may drop off the form in person or you may mail your form to one of the addresses listed below.
NOTE: Faxes are NOT ACCEPTED.
Please also be aware that a fee may be associated with your request. Most requests are usually processed within five to ten business days.
Copies of Protected Health Information will not be given unless you provide one of the following forms of identification (expired identification will not be accepted).
- Valid U.S. Driver’s License; or
- Valid U.S. State-issued non-driver identity card; or
- Valid U.S. Passport
If the patient is a minor or is not competent to give consent, the signature of a parent, guardian or other legal representative is required. For deceased patients, additional documentation will be required for release of protected/privileged health information. Contact the Release of Information at the numbers listed below with specific questions.
NSMC Salem Hospital and NSMC North Shore Children’s Hospital Medical Record Requests:
NSMC Salem Hospital
Health Information Management Department
Release of Information Department – Axelrod 5
81 Highland Avenue
Salem, MA 01970
NSMC Union Hospital Medical Record Requests:
NSMC Union Hospital
Health Information Management Department
Release of Information Department – Hartman Hall Basement
490 Lynnfield Street, Rear Entrance
Lynn, MA 01904
To speak to someone in the Release of Information Department please call:
NSMC Salem Hospital 978-354-4258 Hours of Operation: 8:00 a.m. – 5:30 p.m.
NSMC Union Hospital 781-477-3062 Hours of Operation: 8:00 a.m. – 4:30 p.m.
