Health Information Management

Medical Records

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

  • This option will allow you to complete and submit the form electronically; except
    • If the request contains sensitive information such as behavioral health records (Acadia) or HIV information (requires a completed authorization form, see option 2 below); or
    • The Northern Light Health facilities listed below
      • Beacon Health, Home Care & Hospice, Lakewood, Medical Transport, or Pharmacy.  Please contact these entities directly for medical record requests.

Complete our secure online Request Form to Release Healthcare Information and Medical Records

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

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 have questions regarding a request for medical records or 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.

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. 

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 Information

HealthInfoNet (State of Maine health information exchange) 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 below or contact 866-592-4352.

Access HealthInfoNet to complete the "Opt-In" and "Opt-Out" forms for this service 

Common Well

Common Well (Nationwide health data exchange) is a secure network that provides participating practitioners access to past and present medical information.  This allows practitioners to make more informed healthcare decisions and coordinate your care across care teams nationwide.

Your privacy and security are taken seriously and because of this your health and clinical information is not stored.  All health information accessed is done so by end-to-end encryption, which ensures your data is secure.  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 the Common Well network. Participation is voluntary. If you feel the risks outweigh the benefits, you may choose not to participate ("opt-out").  To opt out of Common Well, call the Patient Help Desk (833) 217-9640.

Northern Light Acadia Hospital
Health Information Management


Mailing Address 43 Whiting Hill Road, Suite 100, Brewer, ME 04412
Phone 207-973-6139 (Option 1)
Fax 207-973-6822
Email HEISAcadiaROI@northernlight.org

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Northern Light AR Gould Hospital
Health Information Management
140 Academy St
Presque Isle, ME 04769

Mailing Address 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org
 

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Northern Light Blue Hill Hospital 
Health Information Management
57 Water Street
Blue Hill, ME 04614

Mailing address: 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light CA Dean Hospital
Health Information Management
PO Box 1129
Greenville, ME 04441

Mailing Address 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light Eastern Maine Medical Center
Health Information Management
43 Whiting Hill Road, Suite 100
Brewer, ME 04412

Mailing Address 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light Inland Hospital
Health Information Management
200 Kennedy Memorial Drive
Waterville, ME 04901

Mailing Address: 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light Maine Coast Hospital
Health Information Management
50 Union Street
Ellsworth, ME 04605

Mailing Address 40 Park Road, Westbrook, ME 04092
Phone 207-973-7873
Fax 207-664-5398
Email NLHReleaseofInformation@northernlight.org

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Northern Light Mayo Hospital 
Health Information Management
897 West Main Street
Dover-Foxcroft, ME 04426

Mailing address: 897 West Main Street, Dover-Foxcroft, ME 04426
Phone 207-564-4270
Fax 207-564-4360
Email HIMReleaseofInformation-Mayo@northernlight.org

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Northern Light Mercy Hospital
Health Information Management
144 State Street
Portland, ME 04101

Mailing Address 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light Sebasticook Valley Hospital
Health Information Management
447 North Main Street
Pittsfield, ME 04967

Mailing Address 50 Union Street Ellsworth, ME 04605
Phone 207-973-7873
Fax 207-973-7867
Email NLHReleaseofInformation@northernlight.org

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Northern Light Beacon Health
797 Wilson Street
Brewer, ME  04412

Phone 207-973-5692
Fax 207-989-1096

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Northern Light Continuing Care Lakewood
220 Kennedy Memorial Drive
Waterville, ME  04901

Phone 207-873-5125
Fax 207-861-9967

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Northern Light Home Care & Hospice
50 Foden Rd., Suite 1
South Portland, ME  041106

Phone 800-757-3326
Fax 207-400-8891
Email HomecareMedicalRecords@northernlight.org

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Northern Light Laboratory
417 State St.
Bangor, ME  04401

Phone 207-973-6900
Fax 207-973-6999

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Northern Light Medical Transport
931 Union Street
Bangor, ME  04401

Phone 207-275-2940
Fax 207-973-9487

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Northern Light Pharmacy
931 Union St. Floor 3
Bangor, ME  04401

Phone 207-275-3216
Fax 207-561-4804

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