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Fax the completed form to 617-667-7806 or mail it to:
Beth Israel Deaconess Medical Center
4th Floor Shapiro Building
330 Brookline Ave.
Boston, MA 02215
You may pick up your film or CD at this same location between 8:00 am and 7:00 pm, Monday to Friday. The Shapiro Center is located at the corner of Brookline Ave. and Longwood Ave. To protect your privacy, please be sure to bring a picture ID when you pick up your CD/films. If anyone else picks up your CD/film for you, please be sure to give him or her your written authorization to release your information to him/her.
If you would like us to send a copy of your study to a physician outside the Beth Israel Deaconess, we will need a signed release from you along with the study you would like sent and the receiving doctor's name and address. You can fax us that signed release form to the fax number listed above. Please allow us plenty of time to send your films. Generally, it can take up to 10 business days for your doctor to receive them.
Currently the first set of films is provided at no cost to you. Any subsequent study is $8 per sheet. There is no charge for CDs and, of course, online access for your physician is always free.