Health Information Management
You can request your medical records from one or more of any Northern Light Health facility or hospital. You now have two options to get your request to release healthcare information to us.
Option 1- Click below to use: Secure online Request to Release Healthcare Information
Complete our secure online Authorization Form to Release Healthcare Information and Medical Records
- This option will allow you to complete and submit the form electronically; except
- If the request contains sensitive information; or
- The Northern Light Health facilities listed below
- Acadia Health, Beacon Health, Home Care & Hospice, Laboratory, Lakewood, Mayo Hospital, Medical Transport, Primary Care, Specialty Care Offices, or Pharmacy
Option 2- Click below to: Download the Authorization to Release Healthcare Information Form
- This option will allow you to complete the form and submit it by mail, fax, or email
- Please make sure that you select the check box for the facility you are requesting records from.
- You can select more than one box
Download the Authorization Form to Release Healthcare Information and Medical Records
Advance Directive and Power of Attorney
Should you find yourself in a position that you cannot communicate your wishes regarding your medical treatment, an advance directive would be able to help you. Advance Directives and Power of Attorneys help you stay in charge of your healthcare, even when you are unable to express your wishes. Northern Light Health provides Maine Hospital Association’s Advance Directive form, our own Power of Attorney form and information to all patients because your choices are important.
Download the Health Care Advance Directive Form for Maine
Download the Power of Attorney for Healthcare Form
HealthInfoNet is a secure computer system that combines your key medical information from separate providers to create a single electronic health record. This includes information like your medicines, allergies, test results, and health problems. Having access to this information can help your providers participating in the system more easily work together, make better decisions about your care, and reduce mistakes, especially in an emergency.
Information is encrypted and sent over private and secure computer connections. Information that identifies you will not be sold, and your name will not be added to any mailing list. Only those involved in your care see your information in the system, and it keeps track of who has looked at your record, when, and what they looked at.
You can choose not to participate in HealthInfoNet. Participation is voluntary. If you feel the risks outweigh the benefits, you may choose not to participate ("opt-out"). For more information about HealthInfoNet, please visit their website or contact 866-592-4352.
Access HealthInfoNet to complete the "Opt-In" and "Opt-Out" forms for this service
Contact us for more information
Our local Health Information Management departments can assist you with notary services as well as questions about your records. If you are requesting records for someone other than yourself, please call the Health Information Management department at the respective hospital or other member organization listed below. Completed authorization forms, advance directives, and power of attorney forms may be submitted to the appropriate Health Information Management department or member organization via mail, fax, or email.
Your health and safety are very important to us. Based on the recommendations from the CDC, to reduce the spread of the Coronavirus COVID-19, we have temporarily closed public access to our department. We are very sorry for the inconvenience.
We understand that normally you would present either to the Health Information Management Department (Medical Records) or to the Radiology Department for copies of your records. For now, we’re asking you to use the information below to make your requests. We will do our very best to respond to your request in a timely manner.
After hours, please leave a message and an employee will return your call on the next business day.
Please remember that much of your medical record information can be easily accessed using the patient portal. Visit MyNorthernLightHealth.org to learn more.
Northern Light Beacon Health
797 Wilson Street
Brewer, ME 04412
Northern Light Continuing Care Lakewood
220 Kennedy Memorial Drive
Waterville, ME 04901
Northern Light Laboratory
417 State St.
Bangor, ME 04401
Northern Light Medical Transport
931 Union Street
Bangor, ME 04401
Northern Light Pharmacy
931 Union St. Floor 3
Bangor, ME 04401