Need to request medical records? Here’s how:

For Active Patients

Requests for records of patients currently receiving our services are prioritized. If you are currently receiving services from Andwell and you are seeking copies of your medical record, please call Medical Records at (207) 795-9307 to expedite the request.

All Other Requests

  1. Download and print the Authorization to Release and Disclose Protected Health Information
  2. Complete all sections of the form
  3. Include a copy of a valid photo identification (your license, military or state ID, passport)
  4. Return the documents* to us:
    1. Email: medicalrecords@andwell.org
    2. Fax: (207) 795-9543
    3. Mail: Medical Records Department, 15 Strawberry Avenue, Lewiston, ME 04240

Important

  • If you are requesting records for a deceased patient, please include evidence of the probate court appointment as Executor of the Estate (Personal Representative).
  • Authorizations signed by a legal representative must also include a copy of proof of authority: Appointment of Guardianship OR Advance Directive OR Health Care Power of Attorney for patients unable to make healthcare decisions OR documentation of designation of a personal representative.
  • Please allow us time to process your request. Most routine requests are completed within 14 days but may take up to 30 days. We will contact you if your request will be delayed or if we cannot fulfill your request.
  • If you need records sent urgently to another healthcare provider, or if you need assistance completing the request, please contact us by phone at 207.795.9307

 

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