Health Information Management (Medical Records)
You have the right to inspect and receive a copy of medical information about you. This includes medical and billing records. We may deny your request to inspect your records in certain very limited circumstances, but you always have a right to a copy of the records. Your request to inspect or receive a copy of your medical information kept by LRH must be in writing. By policy and for your protection, we do not disclose medical information to you by phone. For copies of your clinical records kept by your primary care physician, contact them directly.
LRH offers convenient ways to submit your request for medical information:
1. Mail/Questions
You may mail the Authorization Request directly to:
Health Information Management
Littleton Regional Healthcare
600 St Johnsbury Road
Littleton, NH 03561
(603) 444-9538
Be sure to include your full legal name, date of birth, and social security number to correctly identify your records, as well as your phone number and address in case we should have any questions regarding your request. Please allow up to 30 days for the processing of your request.
Normally it does not take this amount of time to receive your record. However, please understand that your medical record needs to be complete before we can release the information. Providers have 30 days to complete medical recordings.
2. Fax
For a more urgent request, you may submit your request by fax to the HIM Department at (603) 259-7559.
3. Authorization Forms
- Download our convenient Release of Information Authorization Form
- Transferring Care TO Littleton Regional Healthcare Authorization Form
- Transferring Care FROM Littleton Regional Healthcare Authorization Form
Important: Please include your phone contact information so we may call and verify your request for information. This is for your protection so that no one else requests your personal medical information.
4. In Person
You may stop by the Health Information Management Department in person at Littleton Regional Healthcare on the Ground Floor, between 7:30 a.m. to 4:00 p.m., Monday through Friday with the exception of holidays, and complete the authorization form. Due to the number of requests received, we normally mail your medical information directly to you within 30 working days. In some cases, we may process your request on the spot. Again, normally it does not take 30 days, however, please understand your medical record needs to be complete before we can release the information. Providers have 30 days.
Notice For Patients
You may request your medical records to be delivered by what is called E-Delivery. You still need to complete an Authorization to Release Medical Records form. When requesting your medical records electronically, you can request this be completed within 72 hours from the time you turn in your Authorization to Release Medical Records form. You must request this service otherwise your request will be processed within our normal time frame of 2 weeks (10 working days).
Obtaining Certified Copies of Birth Certificate
When a baby is born at Littleton Regional Healthcare, we have the parent(s) complete what is called Mother’s Worksheet for Child Birth Certificate. This worksheet provides us with the information to complete the process for a birth certificate.
New parents will receive the Parent Notice in the mail from Health Information Management. Please examine this information very carefully to be sure it is correct in every detail, especially that the names are spelled and all dates are correct. If you find an error, please contact Health Information Management 603.444.9538, or the Littleton Town Clerk’s Office at 603-444-3996 extension 23 for any corrections. For parents residing in New Hampshire, the Parent Notice can be taken to your Town Clerk’s office to obtain a Birth Certificate. Parents residing in a different state should take the Parent Notice to any New Hampshire Town Clerk’s Office to obtain a Birth Certificate.
Looking for a Copy of Your Birth Certificate
If you are looking to obtain Certified Copies of Birth Certificates for children that were born at Littleton Regional Healthcare, you should go to the Littleton Town Clerk’s office. Be sure to bring current photo identification or go online to New Hampshire Vital Records to complete a Certificate Application here or call Vital Records 603-271-4650.
Our friendly and courteous registration staff is here to serve your registration needs whether you are here for a simple lab test, x-ray test, same day surgery, or inpatient services.
Registrars are most often your first contact when you come to the hospital for treatment or services. They are responsible for setting up your visit information so that caregivers have basic information about you to properly care for you. Admissions staff may request identification and will obtain general written consent for treatment from you. In addition, registrars collect financial information from you so that we may accurately bill you or your insurance for services rendered. You are also advised of your rights and responsibilities as a patient under State law, offered a copy of our Notice of Privacy Practices as required by federal law, and informed of your rights and obligations as a Medicare [513 KB pdf] or Tricare [360 KB pdf] beneficiary (where applicable). Medicare Outpatient Observation Notice [109 KB pdf].
The Patient Access Department is located in the Main Lobby of the hospital. Hours of operation are Monday-Friday: 6:00 am – 7:30 pm
For your convenience, there is also a Patient Access Representative located in the Upper Atrium, Monday-Friday: 7:30 am – 4:00 pm
Emergency Department Registration Representatives are available 24 hours per day, 7 days per week.
Open Admissions Policy
It is the policy of Littleton Regional Healthcare to admit and treat all persons without regard to race, color, sex, handicap, national origin, or religious creed. Admissions requirements and assignments of hospital facilities are the same for all persons.
Patient Access Mission Statement
To serve the community by promoting patient advocacy and meeting the needs of our patients, visitors, volunteers, and staff.
Patient Access Vision
Patient Access Services strives for excellence in quality, efficiency, and customer service.
Patient Access Values
Collaboration
Courtesy
Respect
Privacy
Quality
Efficiency
Every person is encouraged to maintain a personal health record (PHR). These are beneficial when seeing a new physician and especially helpful if you are caring for another individual (parent, child).
A PHR can be a matter of life and death should a major disaster hit our area and destroy the buildings (physician offices, hospitals, laboratories, etc.) that currently house records of your care (e.g. Katrina).
Your PHR should contain important information about you and your health care such as:
Identification Information: Insurance numbers, your name (including maiden name), date of birth, social security number, address, telephone number, employer name, contact and telephone number, dentist name and telephone number, and any physical identification marks and/or some hair samples.
Problem List: Conditions you have been treated for in the past and currently and any surgeries.
Medication List: Name of medication, dosage, prescribing physician, pharmacy holding your prescription.
Results of Significant Tests: X-ray reports, laboratory results, pathology results, colonoscopies, etc.
History: List of hospitals, physicians and dentists who may have health information about you.
Immunizations
Special Documents: Power of Attorney, Healthcare Proxy, and/or Advance Directive.
Contact Info
Main Health Information Telephone Number:
603-444-9538
Fax:
603-259-7559
Release of Information:
Contact the LRH HIM Department
603-444-9538
Email for General Inquiries or Record Requests:
HIMdept@lrhcares.org
