Record Release Form

To obtain a copy of your records from Laconia Women’s Health Center you need to complete a record release form and either mail it to:

LWHC c/o Travel Health NH

1 Mill Plaza

Laconia NH 03246-3475

or fax it to 603-366-1003. 

Your records will be send on a CD to either you or your new provider, whoever you indicate on the release. There is no charge for the first record transfer.

We will do our best to get your records out on a timely basis.

Record Release Form