Get a copy of your FMH medical records

All patient information is confidential and available only to individuals directly involved in that patient's care.

To Request Records in Person

Print and complete the Authorization to Receive Protected Health Information Form (Adobe Reader / PDF format, 9K).
Return the form to the Medical Records Department, Release of Information office, located on the 1st floor of the hospital, Monday through Friday, 8:00 a.m. to 4:30 p.m.
If anyone other than the patient picks up the records, that person must have a copy of the Power of Attorney, other legal documentation provided by the courts, or be the person named on the authorization form in the "recipient" space.
A photo ID is required when picking up records.
Please call 3 business days before you need the records so that we will have them ready for you. Otherwise, the records will be mailed or ready for pick up within 5 to 7 business days.

Print and complete the Authorization to Receive Protected Health Information form (Adobe Reader / PDF format, 9K).
Fax the authorization form to the medical records department at (207) 779-2629, or mail the authorization form to:
Franklin Memorial Hospital
Attn: Medical Records
111 Franklin Health Commons
Farmington, Me 04938
Be sure to include the address where the records are to be mailed.
After close examination to confirm that the signature on the form matches that on file at the hospital, your records will be mailed to you within 5 to 7 business days.

Death Certificates
Can be obtained from your local town office
Blood Types
Blood types are not automatically kept on file at the hospital, only in those cases when the knowledge of your blood type was necessary for the visit.
Immunization Records
These are usually obtainable from your primary care provider

For additional information pertaining to the release of medical records, please call (207) 779-2605.