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  • Download The Gme Release Form In Pdf Format - Baystate Health

Get Download The Gme Release Form In Pdf Format - Baystate Health

759 Chestnut Street Springfield, Massachusetts 01199 413-794-0000 baystatehealth.com AUTHORIZATION AND RELEASE I hereby authorize Baystate Medical Center, Inc. ( BMC ), its employees, agents, medical.

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Contact support

We welcome inquiries from the media. To reach a member of the Public Affairs after business hours, please call 413-794-0000 and ask the operator to page Public Affairs on-call. Your call will be returned shortly.

Email: medical.staffoffice@baystatehealth.org.

You can request your medical records via your health care provider's online patient portal, ask for copies of your records in person at your doctor's office or put the request to your provider in an email or letter.

By Mail: Baystate Wing Hospital. Health Information Management. 40 Wright Street, Palmer, MA 01069. In Person: You may walk in and pick up your records between 8:30 am and 5 pm Monday through Friday. By Phone: 413-794-4203. Sending Medical Records to Another Facility.

How to Submit Requests and Receive Copies. To request a copy of your medical records (for personal use or for another healthcare provider), download, print and complete the Release of Information Authorization form. Once completed you may FAX or mail your request to the appropriate medical center listed below.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232