Medical Records Request

Medical records include but are not limited to a patient’s medical history, test results, office visit notes, discharge summary, and operative reports of treatments and medical services. We are happy to provide you with copies of your medical records related to care received at Caribou Memorial Hospital.

Requests for copies of medical records can be made in person, at the front desk, via a phone call to our medical records specialist or by completing this form. Please note that only the requestor (unless a minor) is allowed by law to receive the requested medical record(s) and he/she will have to present a valid Photo ID in order to pick up the records.

We can also send records directly to other healthcare facilities or doctors’ offices. In this case, please be sure to provide the fax number.