Requesting copies of your medical record

Many records are available through MY HEALTH, our secure online patient portal. Please ask a Patient Service Representative for a secure Personal Identification Number (PIN).

If you need a paper copy of your records we require a completed medical records release form.

Nashua Patients – Medical Release Form
Newmarket Patients – Medical Release Form
Raymond Patients – Medical Release Form

Forms can be faxed or mailed to our office. Mailing address and fax numbers are listed on the forms.

Please allow 2-4 weeks for the records to be prepared for you.

For any questions regarding medical record requests please contact your center’s Medical Records Office by selecting option 7 through our phone system.

Do you have a Personal Representative?

A personal representative is someone you authorize to be involved in your health care.

If you would like to authorize health center staff to speak with a spouse or another individual regarding your health care we will need to have this form completed. This includes conversations such as rescheduling appointments or questions on billing issues.

Personal Representative Form