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:
- Download the authorization form.
Download the Medical Records Authorization Form
Adobe Acrobat PDF file (104KB)
- Print and complete the authorization form to release medical records.
- Mail or fax the fully completed form to the address below:
-
Southcoast Hospitals Group
Health Information Services
101 Page Street
New Bedford, MA 02740Fax: 508-961-5134
Phone: Contact Gloria at 508-961-5133
E-mail: info@southcoast.org
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.






