Systems and techniques are disclosed for trust based access to records via encrypted protocol communications with an authentication system. One of the methods includes maintaining, in one or more databases, health records associated with patients. Each health record including portions of medical information and each portion being separately trustable to one or more outside entities. The trust indicating that an outside entity can access a portion. A request from a user device of a patient is received, the request indicating access to a health record associated with the patient. Requests for information are presented on the user device, the requests indicating features of patients that are usable to identify a specific patient. The patient uniquely corresponding to a particular health record is determined, and user account information for the patient is generated, with the user account information used to identify portions of medical information associated with the particular health record.