close Call Us (401) 729-2000

Release forms are available by downloading and printing the form below, from your doctor's office, or at the hospital's medical records office located on the second floor of the Sayles Building. When completed, please hand deliver or mail your release form to the address listed below.

To request your records by mail:

Health Information Management
Memorial Hospital of Rhode Island
111 Brewster Street Pawtucket, RI 02860

In many circumstances an original authorization is required. For additional information about access to medical records, please call (401) 729-2230.

Medical Records