Medical Records

You may obtain a copy of your medical record by filling out an Authorization to Use and Disclose Protected Health Information form. This form can be downloaded here, or you may call 508-422-2487 to request a form.

Please complete both sides of the form, sign it and return the form to:

Milford Regional Medical Center
Medical Records
14 Prospect Street
Milford, MA 01757

Please allow 7 to 10 business days to process your request.

You can also fax your request to 774-462-3972 or email roi.roi@umassmemorial.org. PLEASE NOTE: If you choose to email, the form is being transmitted via the internet and the information is not secure.