At Riverview Psychiatric Center the privacy of your health information is a top priority. We follow strict guidelines that secure your medical records in accordance with your rights, and with federal and state regulations. You, or your legal representative, have the right to obtain a copy of your medical records. Upon request, we will also send a copy of your medical records to another health care provider.
How do I request a copy of my medical records?
Request by mail, fax, or email
To request medical records by mail, fax, or email:
- Download and print the DHHS Authorization to Release Information form.
- Complete, sign and date the form.
- Submit all completed and signed documents via, email, mail, or fax:
- Email: RPCMedicalRecords@maine.gov
- Mail: Riverview Psychiatric Center, Health Information Management Department, 11 State House Station, Augusta, ME 04333-0011
- Fax: 207-287-7127
Please allow us time to process your request. Requests are usually completed within 7-10 days but may take up to 30 days. We will contact you if your request will be delayed or if we cannot fulfill your request. Please note:
- Your medical records will include protected health information related to your care.
- You must complete ALL FIELDS on the DHHS Authorization to Release Information form.
- If any information is missing from the form, or if the form is not signed and dated, your request may be delayed or returned.
- Authorization requests signed by your legal representative must also include a copy of one of the following documents:
- Legal guardianship papers
- Advance directive or health care power of attorney, for patients unable to make health care decisions
- Designation of a personal representative, which allows the representative to act on the patient's behalf with regard to personal health information
Fees for paper copies:
There may be a “reasonable cost-based fee” for copying protected health information in accordance with the State of Maine Statutes and hospital policy. The exact fee amount will not be determined until the request has been fulfilled, at which time an invoice will be sent. Fees may be required prior to releasing the records requested. We accept payment by check, money order, or credit/debit card.
There is no charge for:
- Records delivered electronically.
- Paper records that are sent directly to another health care provider.
Send records to another provider
To send medical records to another provider:
- Complete the DHHS Authorization to Release Information form.
- Complete, sign and date the form.
- Enter the health care provider's office and contact information in the Release/Send my Information To section
- Fax or email the completed form to: 207-287-7127 or RPCMedicalRecords@maine.gov
Note: Please mail all subpoena-related documents, non-patient directed requests, and/or audit requests to:
Riverview Psychiatric Center Health Information Management Department 11 State House Station Augusta, ME 04333-0011
Questions?
We are here to help Monday - Friday from 7:30 am to 4 pm. Closed on weekends and holidays. Phone: 207-624-3900, ask for Medical Records Email: RPCMedicalRecords@maine.gov
Language Assistance
Riverview Psychiatric Center provides free interpreter services.
Patient Rights & Privacy
Learn more about our health information privacy practices and your rights as a Riverview Psychiatric Center patient.