The NCHHHA 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.

To request a copy of your medical records:

Please click here to download and print an Authorization For Release Of Information form. Complete the form and mail to:

Health Information Management
North Country Home Health & Hospice Agency
536 Cottage Street
Littleton, NH 03561

Please allow up to 30 days for us to process your request. If you need assistance, or have any questions, please call (603) 444-5317.