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School of Dental Medicine

Dental Record Requests

Tip: Record requests from dentists/dental offices are provided free of charge, so consider having your dentist or dental office handle this process!

To obtain a copy of your dental record, you must submit a completed Record Request Form available for download by clicking on the link below. Once you have downloaded and completed the form, please allow up to 30 days for requests to be completed.

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

Submitting Your Request

All requests require a completed Record Request Form.

  • Fax your completed release form to (617) 636-6858. You can then call in your credit card payment to (617) 636-6986.
  • Email your completed request form as an attachment to dental.records@tufts.edu. You can then call in your credit card payment to (617) 636-6986.
  • Mail your completed release form along with your payment by check or money order to the address below.
    • TUSDM Compliance Office
      1 Kneeland Street
      Boston, MA 02111
      Attn: Record Department
  • Hand Deliver your completed form to us in person, by visiting 1 Kneeland St., Boston and speaking with a staff member at the front desk. Please have your check, money order, Visa, Master Card or Discover Card ready.

Fees

The cost for a record request by patients is either $6 total or  $10 total, depending on what you request. Record requests from dentists/dental offices are provided free of charge, so consider having your dentist or dental office handle this process.

  • Fees must be paid in full before releasing records.
  • Records that include a CD or Diagnostic Quality X-Ray Paper cost $10. All other requests are $6.
  • There is no fee to view your record in person, but you must make an appointment and you will not receive a copy