Patient Medical Records

Requesting Your Medical Records

Medical records are documentation of a patient’s key clinical data and medical history. This includes diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results. Having a complete and accurate medical record is important for health care clinicians and patients alike.

Patients treated at Fair Haven Community Health Care can request a copy of their medical records. If you will like a copy of your medical record, please download and fill out this form. You can return this completed form to any of our locations during normal business hours or email it to Please allow up to four weeks for a response.