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.
Login or Enroll in MyChart Here
Elliot Health System has partnered with Sharecare to fulfill your requests for records.
Elliot Health System is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.
If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.
Patient Online Access Form – This is exclusively for patients and legal guardians with legal paperwork requesting a copy of their medical records.
Use this request form for the medical records from The Elliot Hospital.
Click Here
Use this to request medical records from primary and specialty care practices.
Click Here
Use this to request medical records for home health and hospice care.
Click Here
If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.
Use this request form for medical records from The Elliot Hospital.
Click Here
Use this to request medical records from primary and specialty care practices.
Click Here
Use this to request medical records for home health and hospice care.
Click Here
Medical Record Requesters: This tool allows you to easily track the status of your requests, download requests, and find invoice amounts and Request/Invoice ID information. Sign up and enjoy complete control of your request process.
Enter the patient's date of birth.
Enter the patient's first and last name or reference number (Request/Invoice ID)
Enter the patient's date of birth.
Enter the patient's first and last name or reference number (Request/Invoice ID)
Call: 858-244-1811
Live Chat: https://hds.sharecare.com
Per regulatory guidelines, Medical Records has up to 30 days to fulfill a request.
Please be aware that there is as reasonable cost-based fee for copying PHI in accordance with the State of NH statues. However, Elliot Health System does not currently charge patients for this service.
Elliot Health System does not maintain birth or death certificates. Certificates can be obtained from the Manchester City Clerk’s Office at 603-624-6455 or the State of New Hampshire Vital Records Department at 603-271-4650.
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.
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.
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 One Elliot Way, Manchester, NH or by faxing it to 603-663-1856.
Please contact the Radiology Department directly to facilitate your request 603-663-2541.
Please contact the Billing Department directly to facilitate your request 603-663-4977.
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 603-663-2341.
For additional information regarding health records and privacy, please click here for the Notice of Health Information Privacy Practices.
Elliot Health System
Health Information Management Department
One Elliot Way
Manchester, NH 03103
Fax: 603-663-1856
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