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VAMC Manchester, New Hampshire

 

Request Your Medical Records

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

We can assist you with the following -

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information Staff is expert in our patients' rights and their medical records.

How to Request Information

To request a medical record, please use one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address -

Manchester VA Medical Center
Release of Information Office
718 Smyth Road
Manchester, NH 03104

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Requests for records will take approximately 10-14 days to process.

Consent or authorization for release of information by a specific individual, physician or insurance company allows the hospital to send copies of information contained in a patient's medical record to another provider who may also be treating the patient, to other agencies/organizations for benefits consideration, or to the patient him/herself.

Fees

There is no cost to send copies directly to another health care provider. If copies are for a patient's personal use, photocopying fees may be assessed.