I have a database MS Access 2010 front end SQL Server 2008 R2 backend. We have a table with Patient Information. Each Patient record could receive 0 or more attachments that are scanned and the scanned image put into the DB. I've created a table with an Identity field for each document scanned, a foreign key to the specific patient the document applies and an image field for the actual image. I've linked the table in Access but now I'm stuck. Should I pull the image itself into SQL Server or put the location of where the image is in Sql Server? Also any ideas on how to allow the user to access those images. I considered a drop down with the image names the user could highlight one and that document would be displayed on the form. Any thoughts on that would be appreciated.