Certain embodiments of the present invention provide systems and methods for managing medical information. Certain embodiments provide a local electronic medical record system including a local personal health record (PHR) client, the PHR client downloading encrypted patient documents from a remote PHR server and parsing the downloaded encrypted patient documents to form a local PHR database. The example system also includes an interface receiving user input including an encryption key to decrypt the downloaded encrypted patient documents and displaying patient medical information to the user based on the downloaded decrypted patient documents.