You can request a copy of your medical records from Southcoast by downloading the authorization form.

Medical records are maintained by the Health Information Services departments for all three Southcoast sites — Charlton Memorial Hospital, St. Luke's Hospital and Tobey Hospital.

Our office hours are Monday through Friday from 8 a.m. to 4:30 p.m.

To obtain a copy of your medical record:

1. Download the authorization form.
   Download the Medical Records Authorization Form
   Adobe Acrobat PDF file (104KB)

   
   

2. Print and complete the authorization form to release medical records.

3. Mail or fax the fully completed form to the address below:
   Southcoast Hospitals Group
   Health Information Services
   101 Page Street
   New Bedford, MA 02740

   Fax: 508-961-5134

   Phone: Contact Gloria at 508-961-5133

   E-mail: info@southcoast.org

Important: Include your name, address, home phone number, an alternate phone number (such as a cell or work phone) and e-mail address in case we need to contact you.

ID Required: When picking up copies of your records, a photo ID is required.

Please allow at least three business days after receipt of your fully completed form for most routine medical record requests to be fulfilled. Urgent requests should be made in person. Fees may apply for copies of some medical records.