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Medical Records

Medical Records

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:

Email: [email protected]

Fax: 603-431-9147


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 NumbersIf 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!

Atlantic Orthopaedics & Sports Medicine