The AVH Health Information Management Department is committed to protecting your privacy and to giving you access to your medical records when you require them.

Patients, or their personal representatives, may inspect or obtain copies of their medical records or have copies sent to another medical facility. Please note that medical records do not contain billing statements or insurance information/ Please contact our business office at (603) 752-2200 for this information.

To request a copy of your medical records:

Please click here to download and print a consent form for release of  patient information. Complete the form, making sure to include a daytime phone number and the patient’s signature, and mail to:

Health Information Management
Androscoggin Valley Hospital
59 Page Hill Road
Berlin, NH 05370

Please allow up to 30 days for us to process your request. If you need assistance, or have any questions, please call (603) 326-5826.