Forms

Release of Medical Records Forms

Authorization for Release of Medical Records and Patient Linking Request Form - to release records to a BostonSight Network provider

Authorization for Release of Medical Records and Patient Linking Request Form - to release records to a doctor outside the BostonSight Network

Patient Linking Request Form - manufacturing history Release Authorization

NOTE: A medical records release (authorization for release of medical records) must originate with the institution releasing patient information. This means that by completing this medical record release you authorize us to send information to an outside party. It does not however authorize an outside party to release of information TO BostonSight.

If you are a current or former patient of BostonSight, Needham, MA, and would like to be seen by a member of the BostonSight Network, please fill out the TOP form above and mail or fax to the attention of the medical records department at BostonSight. (Please click here for mailing and fax information.)

Male patient at equipment
Dr Alan Kwok treats a patient

"BFS truly strives to put the interests of the patient first. We ARE human but I am proud to be part of an organization that doesn’t just pay lip service to providing the best care possible. We endeavor to do so every day.”
— Dr. Alan Kwok