Medical Records Authorization Form
If you are looking to REQUEST or RELEASE medical records, please fill out our Medical Records Authorization Form.
Forms can be returned via:
More Patient Info
Not Finding What You Need?
Please visit our Patients page to access our: Patient Portal, Prescription Refill Line, Online Bill Pay Information, Insurance Information, Locations and Hours, and Important Department Phone Numbers. If you have further questions, visit our FAQs or contact our offices at 603-431-1121 (Portsmouth, NH) or 207-363-3490 (York, ME), or fill out this Online Contact Form. Our staff is happy to help you!