The health and safety of our patients, families and staff is our highest priority. Due to the COVID-19 pandemic, the Commonwealth of Massachusetts is requiring hospitals to meet established criteria as part of the state’s reopening plan. The Springfield Shriners Hospital submitted its Phase 1 attestation on May 29, 2020, its Phase 2 attestation on June 9, 2020, and its Phase 3 attestation on July 8, 2020.

If your child has an upcoming appointment, please contact your local Shriners Hospitals for Children location.

Screening protocol and updated policies at the Springfield Shriners Hospital.

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Medical records and insurance

Medical records and insurance

Medical records 

To request copies of your own medical records, or to authorize the disclosure of your medical records to another individual or third party, you will need to complete a HIPAA compliant form and submit your request in writing to the Health Information Services (HIS) department. Note: Please be sure to complete all sections when filling out the form.

Patients, legal guardians and personal representatives with legal authority to make health care decisions on behalf of the individual may obtain medical record copies by one of two methods:

  1. Completing a Patient Request for Information form: (English) (Español), or
  2. Submitting a request to release the medical record through the Shriners Hospitals for Children Patient Portal. (Note: This process does not require completion of the form listed above.)
    • If you already have access to the Shriners Hospitals for Children Patient Portal, see instructions here.
    • If you do not yet have access to the Shriners Hospitals for Children Patient Portal, contact the Shriners Hospitals for Children registration staff or care manager at this location to request an invitation.

Third parties may obtain medical record copies by submitting an Authorization for Disclosure of Health Information form that is completed and signed by the patient and/or legal guardian: (English) (Español).

Fax the completed form(s) to 413-735-1226, or mail to:

Health Information Management
Shriners Hospitals for Children
516 Carew Street
Springfield, MA 01104

If you are a former patient requesting a copy of your records, please provide a copy of your driver’s license along with the form.

If you prefer, you can stop by the hospital and fill out the form in person anytime between the hours of 8 a.m. – 4:30 p.m., Monday – Friday.

Requests for copies of your medical record take 10 to 15 business days to process upon receipt of the authorization form. There may be a charge depending on the size of the request.

Insurance questions

At Shriners Hospitals for Children — Springfield, there are no barriers to care. Doctors determine the course of care and all care is provided regardless of the families’ ability to pay. If the child is covered by private insurance or a state funded plan, the hospital will bill and accept reimbursement for services provided at our hospital. However, insurance coverage is not a criterion for care. Any child under age 18 with a medical condition that is within the hospital’s scope of services is eligible.

For insurance related questions, please call 413-787-2060.