Medical Records and Release Forms

Confidential. Accurate. Up-to-date.

Northeastern Vermont Regional Hospital respects and protects our patients’ right to privacy and confidentiality. Your NVRH medical records are kept confidential and secure, as mandated by law. Our Notice of Privacy Practices explains the ways we may use or disclose your medical records.

Request your medical records

Authorization for Release of Protected Health Information

Return completed form to the Health Information Management Department:

Email: HIMDept@nvrh.org

Fax: 802-748-7527

Mail: HIM, 1315 Hospital Drive, St. Johnsbury, VT 05819

In person record requests are by appointment only; please call, 802-748-7412, or email HIMDept@nvrh.org to schedule.

Copies of Imaging

Please contact Diagnostic Imaging directly at 802-748-7900.

You can also view your records and other health information from the MyPortal patient portal.

Enroll in MyPortal

Patient Portal Enrollment Request

Proxy Access Request – Minor Child

Proxy Access Request – Over 18

Email completed form to HIMDept@nvrh.org