Transferring Medical Records to or from 银河彩票计划?

Please download and print the PDF below and return based on the type of records you are requesting.
Please allow 30 business days for outgoing records.

Click the Records Request button below.

Download and complete form.

Return to our office in person or

Mail to: 102 Main Street, Greenfield, MA 01301 or

Fax to: (413)772-6969

(Please allow 30 business days for outgoing records)

Please Note: Record requests can not be processed without return of a signed Record Request Form.

Having Trouble? We can help! Call (413) 325-8500 and our Patient Services Representatives will be happy to assist you.