Medical Records

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.