Authorization for Release of Protected or Privileged Health …
https://www.massgeneral.org:443/assets/mgh/pdf/notices/medical-records-release-mgh-english.pdf
WebMail or Fax Release Form To: Release of Information 121 Inner Belt Road, Room 240 Somerville, MA 02143-4453 Fax: 617-726-3661 For questions, contact: 617-726-2361. For copies of radiology images or films, contact (617) 726-1798 / Fax (617) 724-0264. Title. Massachusetts General Hospital Medical Records Release Form. Created Date.
DA: 75 PA: 93 MOZ Rank: 67