Abstract: Methods and systems related to automating the retrieval and release of patient health care records are disclosed to make the process more accessible, more accurate, more timely, and more secure. The methods comprise enabling a requestor to transmit over a network a health care records request, proof of identity, and a designated destination to a system manager for review. The methods also comprise enabling the system manager to ensure that the requestor is authorized to obtain or release the requested records, access the requested records electronically, and send the requested records to the designated destination. The methods may also allow for automated payment of the fees associated with the records request. Systems employing the methods over one or more computer networks are also disclosed.