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To protect your privacy and comply with HIPAA requirements, please verify your identity using one of the following options:

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In order for us to disclose protected health information related to reproductive health care, the DHHS requires a completed attestation form. Please download, complete, and upload the form below.

HHS OCR Model Attestation Form for Reproductive Health Care
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You have selected to pick up your medical records. Once your records are processed we will contact you to set up a pick up time.

We are located at :

Morgon Records Management
8 State Street
Nashua, NH 03063

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You have selected to pick up your medical records. Once your records are processed we will contact you to set up a pick up time.

We are located at :

Morgon Records Management
8 State Street
Nashua, NH 03063

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In accordance with HIPAA Privacy Rule 45 CFR § 164.524, Morgan Records uses an “average cost” method to calculate fees for each delivery method. This means the total fee you see is based on the combined average costs of labor, supplies, and postage — calculated from real costs we’ve recorded over time and across many requests for that type of delivery.
We want you to know that we don’t use flat fees. Our pricing is based on actual costs so that charges stay reasonable, fair, and directly connected to the work it takes to process and deliver your records. While a fee is necessary to help cover those costs, our goal is always to keep it as fair and cost-based as possible.
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Authorization

Patients 18 years and older must sign this release form themselves.

If the patient is over 18 and unable to sign, please contact us at: medical@morganrm.com or 833-888-0061 for further instructions.

Do not sign this form unless you are the patient, the legal guardian, or an authorized third-party requestor with appropriate legal documentation.

I am the patient, the legal guardian, or an authorized third-party requestor with valid legal documentation permitting the release of the above records. Any facsimile, copy, or photocopy of this release will be valid for 90 days and shall authorize you to forward my medical records. This form gives you permission to share my private information obtained from this facility. Only records from this facility can be legally released. Any records from other physicians must be obtained from them directly.

I understand that the medical record released pursuant to this authorization could contain information concerning drug related conditions, alcoholism, psychological conditions, psychiatric conditions, and/or blood borne infectious disease, which are subject to federal and/or state restrictions on disclosure. I understand that if the person or entity that receives the information is not a health care provider or health plan covered by federal privacy regulations, the information described above may be re-disclosed and no longer protected by these regulations. I hereby affirm that I have read and fully understand the above statements and consent to the disclosure of the medical record for the purpose and extent stated above.

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Your current record requests are listed below. You may edit or remove any before submitting. To complete your request, please enter payment details or click "Submit Request" if no payment is required. Be sure to complete this step to finalize your request.

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Morgan Records Management LLC adheres to strict industry standards for payment processing, including:

  • 128-bit Secure Sockets Layer (SSL) technology for secure Internet Protocol (IP) transactions.
  • Industry leading encryption hardware and software methods and security protocols to protect customer information.
  • Compliance with the Payment Card Industry Data Security Standard (PCI DSS).
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Please wait while we process your request.. !! For any issues or questions, please contact patientrequests@morganrecords.com
Please wait while we process your request.. !! For any issues or questions, please contact patientrequests@morganrecords.com