Dental Record Requests

Patients can obtain their dental records by completing the records request form or by having their dentist’s office submit a request on their behalf.

Patient Submitting a Request

  • Patients must complete and sign the records request form
  • The completed release form can be faxed, emailed, mailed, or hand-delivered
    • Fax: 617-636-6858
    • Email: dental.records@tufts.edu
    • Mail:
      TUSDM Compliance Office
      1 Kneeland Street
      Boston, MA  02111
      Attention: Records Department
  • A processing fee will be charged for records to be sent directly to the patient: $6 by email, $10 by mail
  • A request for records to be emailed and mailed directly to the patient that includes a CD and/or diagnostic-quality X-ray paper costs $16
  • A request for records to be sent to a dentist’s office is free of charge
  • To make a payment, please call our business office at 617-636-6986
  • Please allow up to 30 days for requests to be completed

Download Record Request Form

Provider Submitting a Request

  • An email or fax request for patient records must be sent on the provider’s letterhead
  • Fax: 617-636-6858, or Email: dental.records@tufts.edu
  • A request for records to be sent to a dentist’s office is free of charge
  • Please allow up to 30 days for requests to be completed

Fees

  • Fees are applied if the patient would like their records to be sent to them directly
  • A request for records to be sent to a dentist’s office is free of charge
  • Fees must be paid in full before records can be released
  • Payments can be made over the phone with our business office at 617-636-6986