A system facilitates the secure access, transfer and update of patient record information and the creation and navigation of image menus supporting the location and access of desired patient record data by a user. A system provides a user interface for use by a portable processing device for accessing and navigating patient record information. The system receives user identification information for use in authorizing user operation of the portable processing device and initiates display of an image including a plurality of links to a corresponding plurality of individual patients. The system also initiates display of a patient record content index image including a plurality of links to a corresponding plurality of items of patient record information in response to user selection of a link to one of the plurality of individual patients. The system further initiates display of an image including information comprising a portion of a patient record in response to user selection of a link to one of the plurality of items of patient record information.