Health Center Forms

For your convenience, here are some forms you may be asked to fill out for your visit:

Medical Records Release

If you would like to transfer or obtain a copy of your medical records, you need to fill out this form.

Mail or fax the completed form to:

1055 Commonwealth Avenue

Boston, MA 02215

fax:  617-616-1618

1055 Commonwealth Avenue
Boston, MA 02215-1001
p: 617-616-1660 - See more at: http://www.plannedparenthood.org/planned-parenthood-massachusetts/contact-us#sthash.XXJ6OKYZ.dpuf

If you are enrolled in our Patient Portal and would like to request an electronic copy of your medical records, click here to login.  Go to your inbox to compose a message with the category "Medical Records Request."