Contact Information
Email: MedicalRecordsRequest@westbridge.org
Fax: (603) 606-7826
Process:
The Health Insurance Portability and Accountability Act (HIPAA) gives individuals the right to see and obtain a copy of their health information. All record requests must be made in writing by submitting an email or fax to the medical records department with information about the request and a copy of a signed release of information from the individual whose record it is. Record requests received from a third party on behalf of an alumni must be accompanied by a signed release by the individual. All requests will be addressed within thirty days, with the intention to complete them as soon as possible.
Download Blank Release of Information Form*
*Note: In order to process your request in a timely manner, please be sure each section of the release is completed as shown in the example of a completed release (download below).