A method and system are provided for utilizing indexed electronic patient medical records stored on portable memory devices. Each of the portable memory devices is associated with a patient for electronically storing indexed medical records for the patient from a plurality of care providers. The indexed medical records are sortable or searchable. For each visit to a care provider by a patient, the method includes: (a) accessing the indexed medical records from a portable memory device associated with the patient; (b) automatically generating one or more documents for use during the visit from the indexed medical records; (c) providing medical services to the patient utilizing the indexed medical records and the one or more documents; (d) recording information relating to the medical services on the one or more documents, and loading the information on the portable memory device; and (e) sending delayed information relating to the medical services to a remote server for subsequent downloading by the patient or another authorized person of the delayed information from the server to the portable memory device.