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Brookside Health Center Clinical Records - Brigham and Women's

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Services" href="/services">Departments &amp; Services</a> </li> <li class="breadcrumbs__item"> <a class="breadcrumbs__link" title="Department of Medicine" href="/department-of-medicine">Department of Medicine</a> </li> <li class="breadcrumbs__item"> <a class="breadcrumbs__link" title="General Internal Medicine &amp; Primary Care" href="/medicine/general-internal-medicine-and-primary-care/overview">General Internal Medicine &amp; Primary Care</a> </li> <li class="breadcrumbs__item"> <a class="breadcrumbs__link" title="Brookside Community Health Center" href="/medicine/general-internal-medicine-and-primary-care/brookside-community-health-center/overview">Brookside Community Health Center</a> </li> <li class="breadcrumbs__item"> <a class="breadcrumbs__link" title="For Patients and Families" href="/medicine/general-internal-medicine-and-primary-care/brookside-community-health-center/for-patients-and-families">For Patients and Families</a> </li> <li class="breadcrumbs__item">Clinical Records</li> </ul> <a class="breadcrumbs__back-link" title=" For Patients and Families" href="/medicine/general-internal-medicine-and-primary-care/brookside-community-health-center/for-patients-and-families">Back to For Patients and Families</a> </div> </div> </div> </div> </div> </div> <div class="container-fluid iw_section" id="sectionj2veiogk"> <div class="row iw_row iw_container" id="rowj2veiogl"> <div class="iw_columns col-lg-12" id="colj2veiogm"> <div class="row iw_row" id="rowj2veiogo"> <div class="iw_columns col-lg-9 content-has-sidebar" id="colj2veiogq"> <div class="iw_component" id="iw_comp1495171520087"> <style>#iw_comp1495171520087{}</style><span id="skipContent"></span><h1 class="page-title">Clinical Records </h1> </div> <div class="iw_component" id="iw_comp1495171520091"> <style>#iw_comp1495171520091{}</style><div class="rich-text component " style="" id="" ><span><p>The Clinical Records Department can provide you with copies of your clinical records related to care and treatment at Brookside Community Health Center.</p> <p><strong>To receive copies of your medical record</strong>, you must submit a written, signed, and dated request form (the form is available in <a title="Medical Record Request Form" href="https://www.partners.org/Assets/Documents/For-Patients/Medical-Records/Medical-Records-Release-BWH-English.pdf" target="_blank" rel="noopener noreferrer">English</a> and <a title="Medical Records Request Form - in Spanish" href="https://www.partners.org/Assets/Documents/For-Patients/Medical-Records/Medical-Records-Release-BWH-Spanish.pdf" target="_blank" rel="noopener noreferrer">Spanish</a>). Please include:</p> <ul> <li>Patient's full name (include maiden name if applicable)</li> <li>Current address and telephone number</li> <li>Date of birth</li> <li>BWH Medical Record Number, if available</li> <li>Date of service</li> <li>Physician name</li> <li>Complete mailing address to send copies</li> </ul> <p>If you are requesting copies for purposes of continued care, please state this in your request and an abstract will be provided at no charge. Otherwise, a fee may be associated with your request. If you are in immediate need of copies or have questions regarding your request, please contact us at the phone number below.</p> <p>Clinical Records does NOT provide radiology films of copies of hospital bills. Such requests should be directed to the appropriate department.</p> <ul> <li>For <strong>radiology films</strong>, call the Film Library at 617-732-7180.</li> <li>For <strong>copies of hospital bills</strong>, call Billing Customer Service at 617-724-1914.</li> </ul> <h2>Contact Us</h2> <p>The Clinical Records Department can be reached at 617-983-6079. We are open Monday-Friday 7:30am-4:30pm (excluding holidays).</p></span></div> </div> <div class="iw_placeholder" id="iw_placeholder1496845732604"></div> <div class="row iw_row" id="rowj3n3av46"> <div class="iw_columns col-lg-6" id="colj3n3av47"> <div class="iw_placeholder" id="iw_placeholder1496845732605"></div> </div> <div class="iw_columns col-lg-6" id="colj3n3av48"> <div class="iw_placeholder" id="iw_placeholder1496845732606"></div> </div> </div> <div class="iw_placeholder" id="iw_placeholder1496845732610"></div> <div class="iw_placeholder" id="iw_placeholder1496845732611"></div> <div class="iw_placeholder" id="iw_placeholder1496845732612"></div> <div class="iw_placeholder" id="iw_placeholder1496845732613"></div> <div class="iw_placeholder" id="iw_placeholder1496845732620"></div> <div class="row iw_row" id="rowj3n3av4p"> <div class="iw_columns col-lg-6" id="colj3n3av4q"> <div class="iw_placeholder" id="iw_placeholder1496845732621"></div> </div> <div class="iw_columns col-lg-6" 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<li class="sidebar__item"> <a class="sidebar__link" title="Community Recreation Resources" href="/medicine/general-internal-medicine-and-primary-care/brookside-community-health-center/community-recreation-resources">Community Recreation Resources</a> </li> <li class="sidebar__item"> <a class="sidebar__link" title="Contact and Location" href="/medicine/general-internal-medicine-and-primary-care/brookside-community-health-center/contact-brookside-community-health-center">Contact and Location</a> </li> </ul> </nav> </div> </div> <div class="iw_component" id="iw_comp1495171520093"> <style>#iw_comp1495171520093{}</style><style>#iw_comp1495171520093{}</style><section class="quick-links quick-links--promo-sidebar left-nav-sidebar component"> <div class="quick-links__content rich-text component"> <div class="quick-links__quick"> <a class="quick-links__item btn btn--block-arrow" href="https://physiciandirectory.brighamandwomens.org" target=""><span>Find a Doctor</span></a><a 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