Looking to obtain a copy of your medical records?

Parkland Medical Center utilizes HealthPort Technologies for release of information. You may request the release of your medical records by printing and completing the following form:

Download Forms


Medical Records Release

English


Upon completion, mail the completed form to:

Mail

HealthPort Technologies Release of Information Richmond Shared Service Center
7300 Beaufont Springs Dr
Richmond, VA 23225

Allow five to seven business days for processing.

For additional information, or to check on a status of a previous request please call (877) 302-7338 .

If you need translation services, please contact the facility Health Information Management (HIM) Department at: 603-432-1500, X3118.

Additional Information

When records are to be released to another medical office for continuation of care, please specify the medical office name, address, phone and fax in the "Recipient" section of the authorization form.

For personal requests, your records will be sent to the designated address, fax or email provided on the authorization form.

For additional information or to check on the status of your request, please contact HealthPort Technologies Customer Service at (877) 302-7338 .