Medical Records
Access to your hospital records
Medical Records
Your Medical Records
We strive to make the process of requesting or releasing your medical records as simple as possible. The information below explains how to submit a request and what to expect.
Submitting a Request or Releasing Copies of Medical Records
You may request a copy of your medical records or allow them to be shared with another person or organization by sending a written request to the Health Information Management (HIM) Department.
To make this easier, Exeter Hospital provides one form that can be used for both purposes. Please complete all required sections of the form before submitting.
Patient Authorization for Release of Protected Health Information / Medical Records
Use this form to request a copy of your own medical records or to allow your medical records to be shared with another person, healthcare provider, insurance company, attorney, or other third party.
Health Information Management (HIM)
You may mail, fax, email or hand-deliver the completed form using the contact information below. If you need help, please contact the HIM Department during office hours.
Exeter Hospital
Health Information Management Department
5 Alumni Drive
Exeter, NH 03833
Phone: 603-580-6228
Fax: 603-580-6598
Email HIM Department
Office Hours: Monday – Friday, 8:00 am – 4:30 pm
A fee may be charged for fulfilling your request in accordance with New Hampshire state law (RSA 332-1:1) or as permitted under HIPAA (45 CFR 164.524(c)(4).
Requesting an Amendment to Your Protected Health Information
You have the right to request a change to your protected health information under the HIPAA Privacy Rule (45 CFR 164.526) if you believe information in your Exeter Hospital medical record is incorrect.
To submit a request, please complete the Request for Amendment of Protected Health Information form below. Requests are processed within sixty (60) days from the date received.
If you have questions, please contact the Health Information Management Department at 603-580-6228.
Frequently Asked Questions
Most medical record requests are processed within 1-10 business days. In some cases, processing may take up to 30 days.
Several factors can affect how quickly your request is completed, including:
- The amount of records requested.
- The urgency of the request (such as an upcoming appointment).
- Whether your records are complete if you were recently treated.
In rare cases, processing may take up to 60 days, if this applies to your request, you will be notified within 30 days of submitting it.
If you have an urgent request, please contact the Exeter Hospital Health Information Department at 603-580-6228.
Refer to the Notice of Privacy Practices made available to you at the time of registration or upon request for information about how your health information may be used/disclosed with/without your authorization.
No. You will need to contact your local Town Clerk's office if you live in the State of New Hampshire for any birth occurring after 1988. If your birth, or birth of immediate family member, occurred prior to 1989, or if you live out-of-state, you will need to contact the Town Clerk's office for which the birth occurred in.
In most cases you cannot. You can request medical records that belong to another individual only in the event you are:
- A parent or legal guardian of a minor patient under the age of 18, unless otherwise restricted by law.
- The administrator of the estate of a deceased patient (legal/additional documents required along with completed authorization request). If you are the spouse of a deceased patient you may request copies of the medical records as long as the deceased patient did not have a will naming a different individual as the administrator of the estate.
- The patient's legal guardian appointed through the Probate Court.
- Listed as the Durable Power of Attorney for Healthcare (DPOAH) and have been invoked by a physician or court order. If the DPOAH has not been invoked, the competent patient will be required to authorize all releases of their own health information, even to another provider.
