Public Records Request Form and Instructions

Please complete CHIA's Public Record Request Form (PDF) pdf format of public-records-form.pdf  | Word docx format of public-records-form.doc  to facilitate your request.

You may submit your request in the following ways:

  1. Email the form to public.records@state.ma.us
  2. Fax the form to 617-727-7662
  3. Mail the form to

    CHIA Public Records
    The Center for Health Information and Analysis
    2 Boylston Street, 5th floor
    Boston, MA 02116-4734

Please note there is a fee of $.20/per copied page. You will be notified if the charge for your request exceeds $25.00.

All Payer Claims Database (APCD) and Case Mix Data

In general, requests for data from the All-Payer Claims Database and the Acute Hospital Case Mix Databases are not public records requests. Information on accessing these data can be found at the following pages:

Many types of Massachusetts hospital financial and profile information may be found online at http://www.mass.gov/chia/hospitals

For questions about the application or the process, please contact CHIA's Public Records Office at (617) 988-3105.