The Health Information Management Department is dedicated to maintaining your medical records and keeping your health information private and secure in accordance with patient rights and federal and state regulations.
For additional information regarding health records and privacy, please click here for the Notice of Health Information Privacy Practices.
We offer patients several options to access their health information.
- SolutionHealth MyChart, is our patient portal which provides access to your health information summary. Enroll in MyChart
- Send us a completed, signed and dated Authorization to Release Protected Health Information form by mail to receive copies of records.
Download form
Send completed form to:
Southern New Hampshire Health Medical Records Department
29 Northwest Blvd.
Nashua, NH 03063
You may also fax your form to 603-577-5756. To request that the form be faxed or mailed to you, please call 603-577-7500.
Frequently Asked Questions
How long will it take for the copies to be processed?
Per regulatory guidelines, Medical Records has up to 30 days to fulfill a request.
Is there a charge associated with my request for copies?
Please be aware that there is as reasonable cost-based fee for copying PHI in accordance with the State of NH statues. However, Southern New Hampshire Health does not currently charge patients for this service.
How can I get a copy of a birth or death certificate?
Southern New Hampshire Health does not maintain birth or death certificates. Certificates can be obtained from the Nashua City Clerk’s Office at 603-589-3010 or the State of New Hampshire Vital Records Department at 603-271-4650.
What do I do if I have sensitive PHI in my chart?
If you have specially protected health information in your chart (HIV, drug and alcohol, mental health, or genetic) please make sure you initial in the appropriate area of the form if you would like this information released.
How do I make insurance, attorney, and disability requests?
Requests should be sent from your insurance company, attorney, or Disability Determination Service (DDS) and mailed to the address on the authorization form. All charges for medical records will be billed to the requestor and in accordance with the State of New Hampshire Statutes.
How do I request an amendment/correction to my medical record?
Patient requests for amendment/correction of protected health information should be made in writing by completing the
Amendment/Correction form and submitting it to the Health Information Management Department at 29 Northwest Blvd., Nashua, NH or by faxing it to 603-577-5756.
How do I access my radiology/imaging films?
Please contact the Radiology Department directly to facilitate your request 603-577-2800.
How do I get an itemized bill?
Please contact the Billing Department directly to facilitate your request 603-577-7800.
How can I contact Southern New Hampshire Health Medical Records Department?
We are happy to assist you if you have additional questions. Please contact us during our hours of operation: Monday through Friday, 7:30 a.m. to 4 p.m. at 603-577-7500.
For additional information regarding health records and privacy, please
click here for the Notice of Health Information Privacy Practices.