Request Medical Records
Print out a copy of our release form.
X-rays are provided on disk free of charge directly through our office.
E-Mail us at firstname.lastname@example.org to have a form mailed to your house.
Fax to our office at 603-881-3739
Mail to us at:
Medical Records Department
17 Riverside St.
Nashua, NH 03062
Receive bill along with your records from copy service in 7 to 10 business days.
To prepay the copy service click here.
About the Process
To better serve our patients we utilize a copy service to copy the medical records. This insures a timely response to your request for medical records. There is a fee for the copying of records which is regulated by New Hampshire state law. The fee is $15.00 for the first 30 pages and .50 cents a page over 30 pages plus postage.
Upon receipt of the signed and complete Medical Records release form to our office, your request will be directed to our outside copy service. You will receive an invoice from the copy service for the cost of copying and postage. Please make payment to them upon receipt of their bill.