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Mailing: Dartmouth College Health Services, Attn: Medical Records, 7 Rope Ferry Road, Hanover, NH 03755

Phone: 603.646.9400     Fax: 603.646.9410

Medical.Records@Dartmouth.edu

 

Medical Records Coordinators

 Jacqueline Carter 603.646.9404 Jacqueline.L.Carter@Dartmouth.edu

Oversees:

  • Pre-Matriculation questions/help with forms
  • Medical School rotation forms

 

 Kellie Towle 603.646.9405 Kellie.M.Towle@Dartmouth.edu

Oversees:

  • Release of Medical Records or Immunizations
  • DHMC Lab Billing

Customer Service Representative 

Hunter Kiessling 603.646.9403 Hunter.M.Kiessling@dartmouth.edu

  • General Questions
  • Release of Medical Records or Immunizations
  • Coordinate Payment for Records when Required

 

 

HOW TO OBTAIN YOUR MEDICAL RECORDS:

Fill out a release from the link below and return to Medical.Records@Dartmouth.edu  (fax and mail accepted also)

Requests generated from non-Dartmouth issued email addresses may require photo ID

Fillable PDF: Authorization for Use and Disclosure

(Adobe Acrobat app may be needed on mobile phones. May not be supported in all browsers)

 
IMMUNIZATION RECORD, ONLY:     NO FEE
  1. If you are a current Dartmouth student you can access and print your immunization record through your Banner page under the 'Health Center Online' link, or you can stop by the Reception Window at Dick's House to request a signed copy.
  2. If you are a former Dartmouth student you must submit a completed authorization in order for us to release your immunization record. Upon receipt of your authorization your immunization record can be emailed, mailed or faxed to the designee on the authorization. 
ENTIRE MEDICAL RECORD (OR PORTION OF) :     $15.00 PROCESSING FEE
  1. To obtain a partial or full copy of your medical record we must receive a completed authorization.
  2. There is a $15.00 processing fee:
    • If you are not on campus payment can be made in the form of a check made payable to 'Dartmouth College Health Services', or credit card over the phone with the Customer Service Representative.
    • If you are on campus we accept cash, check or credit card payments at the Reception Window at Dick's House. Current students also have the option of charging the processing fee to their Student Account.
  3. Processing time is 7 - 30 business days. Please contact Kellie at the email address above if you have an urgent request.
  4. Medical records are available in the form of disc, USB, emailed PDF or paper.  
  5. Requests for medical records will not be processed until both the authorization and payment have been received.

 

Privacy Practices

New Hampshire Patient Bill of Rights

 

Mailing: Dartmouth College Health Services, Attn: Medical Records, 7 Rope Ferry Road, Hanover, NH 03755

Phone: 603.646.9400     Fax: 603.646.9410

Medical.Records@Dartmouth.edu

Last Updated: 5/1/18