Dental Record Requests

Phone/Fax

P. (617) 636-6824
F. (617) 636-6858

Address

Tufts University School of Dental Medicine
1 Kneeland Street
Room #101
Boston, MA 02111
Attn: Record Department

Directions

Hours

8:30 a.m. – 5:00 p.m. Mon-Fri

To obtain a copy of your dental record, you will need to submit a completed Patient Record Request Release Form available for download by clicking on the link below. Dental records can include medical history, x-rays, case records and other sensitive information so requests must be faxed, mailed or hand delivered – e-mailing requests/records is not an option. Please allow up to 2 weeks for all request to be completed.

There is a small fee associated with processing each request. Record requests from dentists/dental offices are provided free of charge, so consider having your dentist or dental office handle this process.

By Fax

You may fax your completed release form to (617) 636-6858 and call in your credit card payment to (617) 636-6986. We accept Visa, Master Card and Discover Card.

By Mail

You may mail your completed release form along with your payment by check or money order to the address on the right.

Hand Deliver

You may deliver your completed form to us in person, by visiting 1 Kneeland St., Boston and speaking with a person at the front desk. Please have your check, money order, Visa, Master Card or Discover Card ready. Click here for directions.

Fees

$9 for x-rays only, paper copy and/or CD
$9 for record copies only
$18 for x-rays and record copies

Please note that record requests from dental offices are provided free of charge, so consider having your dental office handle this process.