To receive a copy of your medical records:
Please complete and sign an Authorization to Release Protected Health Information form. Please allow five to ten days to process your request.
The completed form can be faxed to 508-427-2209 or mailed to:
Health Information Services Department
Attention: Correspondence Unit at Good Samaritan Medical Center
235 N. Pearl St.
Brockton, MA 02301
For questions, please call the correspondence unit at 508-427-3183 during the following times:
- Monday, Tuesday, Wednesday, Friday: 8 a.m. - 3:30 p.m.
- Thursday: 8 a.m. - 7 p.m.