Patient Services

Medical Records

Our Medical Records/Health Information Management Department is here to serve you Monday through Friday, during regular business hours.

If you would like to release or receive health information, just click on the link below to get a printable version of our Release Form.  


Authorization to Release Healthcare Information

Click Here to Download    (Consent Form)


Please mail the completed consent form to :

Houlton Regional Hospital 
Health Management Dept
20 Hartford Street
Houlton, ME 04730
Please provide the mailing address that you would like to receive the requested records. The correspondence office will prepare your records and mail them to you at the address provided.