We offer several ways to request your medical records depending on the type of information you need and format. Medical Records Custodian - Managing Hospital, Clinic & Patient Records 1 (404) 991-7080 Medical Records When you decide to cease operations at your healthcare facility, let Cariend continue the care and custody of your medical records. Select the green print button on the immunization page is displayed. Posted on Sep. 13, 2011, 1:22 pm by Jeff Welty. Process for Requesting Only Immunization Records (CURRENT STUDENTS ONLY) 1. To obtain medical records, download the form below and fax to 919-350-7985 or mail to: WakeMed Health & Hospitals Health Information Management Department - ROI 3000 New Bern Avenue Raleigh, NC 27610 Authorization to Release Medical Information Form English | Spanish Questions? 3151 S. 17th Street. Requesting Medical Records Medical Records can be requested through our patient portal or by completing the request form below. Fill in your Authorization form. To request copies of your medical records, X-rays and imaging, please contact the Medical Information Management Department: Tel: (984) 974-3226 Fax: (984) 974-0471 For more Mission Patient Portal. Replacement copies may be requested in person during our regular business hours Monday- Friday 8am-4.30pm. There is a fee to request Log on the SHC Patient Health Portal 2. If you would like to request a copy of information in a medical Conditions We Treat -> Your request is typically processed within 3-5 business days. University of North Carolina Health Care System 101 Manning Drive, Chapel Hill, NC 27514 (919) 966-2336, Fax (919) 966-6295 ATTENTION: RELEASE OF MEDICAL INFORMATION From time to time, an officer from another state wants to get medical records from a North Carolina hospital. Out-of-State Requests for in-State Medical Records. Requesting your medical records. Email the completed form to [email protected]. (HIM #710-s). Physician Relations. Requesting Medical Records UNC Health Southeastern Health (3 days ago) For questions related to release of medical records, please contact the Health Information Management department at (910) 671-5539, option 1 between the hours of 8:00 a.m. and 5:00 Introducing EPIC@UNC, an electronic medical record that makes it easier than ever for patients to access timely medical information and connect with their providers within UNC Health Care. Published for NC Criminal Law on September 13, 2011. Effective March 18, 2013, all North Carolina Army National Guard medical records requests will be requested through the G1 Medical Branch. Refer a patient online or access patient records: unccarelink.org. Out-of-State Requests for in-State Medical Records. To speak with the Medical Records department, call 919-350-8370. [email protected]. 5.Retain copies of your immunization records for future use. How to Request UNC Medical Records on Your Own If you have ever been seen at a campus medical clinic at UNC, you may visit the drop-off station on the first floor of UNC Memorial If you need a CD of your images and reports, please allow 48 hours to complete this request. PO Box 9000. Complete Standard Form 180 "Request Pertaining to Military Records" IAW AR 25-400-2 paragraph 10-4 to obtain your military medical records. Patient Portal Medical Records Department Mail completed form to: Health Information Management. The form at the The medical records office is located at SRMC, and can release records for SRMC, UNM Hospital and the UNM Comprehensive Cancer Center. Published for NC Criminal Law on September 13, 2011. Please allow up to 60 business days for delivery of your records. North Carolina National Guard Office of Recovery & Resiliency DPS Services Public Records Request Directory Report Fraud, Waste or Abuse Send Email NC.GOV AGENCIES JOBS SERVICES New Phone Medical Records Center - 919 UNC MEDICAL INFORMATION MANAGEMENT ATTN: RELEASE OF INFORMATION 500 Eastowne Drive Chapel Hill, NC 27514 1st Floor of UNC Memorial Hospital Room #N1215 Health A request for a CD copy of medical digital imaging can be made through UNC Imaging Support (phone: 919-966-3280; Jeffrey B. Welty. For information about your medical record, please see this Medical Records page or call (984) 974-3226. UNC Health Sanctions Matrix (please contact the UNC Health Privacy Office at 984.974.1069 for further information about discipline) Health Information, Patient Rights and Medical Records Mission Records are delivered to the brain bank via secure email in 1-3 business days, or Medical records and imaging requests fax: Requests for your records can take between 7-10 business days to process. Select the Immunizations tab 3. Hours: MondayFriday 8:30 a.m. 4:30 p.m. For questions and fees, call: 505-994-7292. UNC Hospitals UNC Health Information Management Attn: Release of Information 500 Eastowne Drive, Chapel Hill, NC 27514 (fax) 984-974-0471; (phone) 984-974-3226 Email: Out-of-State Requests for in-State Medical Records. From time to time, an officer from another state wants to get medical records from a North Carolina hospital. Fax the completed for to (910) 667-7186. The authorization form can be obtained from any UNC Hospitals, UNC Hillsborough Campus or Our Patient Portal is available anytime. Health A request for a CD copy of medical digital imaging can be made through UNC Imaging Support (phone: 919-966-3280; fax: 919-966-4990). Request your medical records Track your health Medical Records At any point as a UNC Health patient, youre welcome to request your medical records. 4.No Authorization for Release of Medical Information needed! To access or sign up for access to the patient portal, go Medical Records Request Patients may request a copy of their medical records by completing and submitting an Authorization for Release of Personal Health Information form. Download the Duke Health Enterprise Request for External Records Form in Spanish (PDF, 252 KB) Download the Duke University Health System Request for an Accounting of Disclosures Form (PDF, 39.99 KB) Written authorization is required for medical records and must be submitted directly to the hospitals Health Information Management department. How To Obtain Your Medical Records UNC Orthopaedics. Medical Records from UNC Healthcare System For information on patient medical records, please visit the UNC Healthcare System Medical Records page. We understand your moment and all the emotions and logistics that accompany this transition. UNC CareLink. Please bring your ID with you. New Hanover Regional Medical Center. Requesting an Accounting of Disclosures of Your Medical Record You have the right to receive a written list of certain disclosures we have made of PHI about you. If you need to request medical records from a Cone Health Medical Office or Practice, please fax or return the request form to your physicians office/practice. Experience high-quality, comprehensive womens health care at UNC Health. Wilmington, NC 28412. Find a doctor near you to request your appointment and get started. From time to time, an officer from another state Print, fill out & mail it to us: 1341 N. Clark St. Cambridge, OH 43725 Attn: Medical Records; Print, fill out & bring it in person to the Medical Records Dept. If you request a list of Requesting your medical records 1. From preventive care and wellness services to specialty care or surgery, youll find guidance and support that meets your needs for every stage of life. Contact Us. If you are not able to come to our office, we have other options available, please contact the appointment desk/Medical Records at 704-920-1205. Access resources How To Obtain Your Medical Records UNC Orthopaedics. If your request is for an upcoming medical appointment or procedure, please call 336-832-8677 and we can send your information to the appropriate medical facility. Patients can log into our Patient Portal to access their medical record, results, reports and images. REQUEST # _____ FIN # _____ Rex Healthcare 4420 Lake Boone Trail Health Information Management Raleigh, North Carolina 27607 919-784-3158; Fax 919-784-3343 AUTHORIZATION FOR RELEASE OF INFORMATION Page 1 of 2 *REQ12345* I authorize: Rex Healthcare OR Other facility: To use or disclose to: Name of Person or Facility: All Medical Request for Public Records Drop off the completed form at one of five locations listed on the UNC Medical Records webpage. If you only need copies of your immunization records, you can pick up those records same day by visiting the We can make it available for pick-up at an office near you. Please The form at the link should be completed and faxed to 919-966-4990.An official Jeffrey B. Welty. 984.974.2509.