Copies of your medical records are available at no charge when necessary for your continuing care. You need to complete and sign a medical release form to receive them.

Release forms are available: by downloading and printing the form below, from your doctor's office or at the hospital's medical records office on the second floor of the Sayles Building. When completed, please deliver, send or fax your release form to the respective department below. 


For Family Care Center Patients:

Fax authorization to:
Practice A: (401) 729-2541            Telephone (401) 729-2304
Practice B: (401) 729-3495            Telephone (401) 729-2206
Practice C: (401) 729-2772            Telephone (401) 729-2769

For Internal Medicine Patients:
Fax authorization to (401) 729 – 3343.  Telephone # (401) 729 - 2258

For patients who were treated as:

• Inpatients
• One-day procedure
• Emergency Department

Fax authorization to (401) 729-3464 Health Information Management Department.
Telephone # (401) 729 - 2230.

If mailing, send your request to:

Health Information Management Memorial Hospital of Rhode Island 111 Brewster Street Pawtucket, RI 02860 Fax: (401) 729-3464

Please allow three to five business days to process your request. For more information about your medical records, please call (401) 729-2230.