Medical Records

How to Request Medical Records

Choose an option

There are several ways to request your protected health information. For the easiest, most secure, and most convenient no-cost option, we recommend using MyChart.

For questions about your request, including status updates, payments, or general support, contact Novant Health Enterprise Release of Information (ROI) Customer Service at 1‑844‑763‑9163.

Please note that medical record request processes vary by facility, so review the details below to make sure you contact the correct team.

Patient right of access

You have the right to review and request a copy of your protected health information for as long as Novant Health, or a business acting on its behalf, maintains it. You may also request that your information be sent to another person or healthcare provider.

These rights also apply to personal representatives who are legally authorized to make healthcare decisions on your behalf.

Fees may apply for printed copies of medical records and for diagnostic images not available through MyChart, your secure patient portal. Visit our Fees & Billing for Medical Records page for a complete list of fees.

Privacy and Record Request Forms

Not sure which form you need? Use the options below to request medical records for yourself or for someone who has given you written permission.

Share Your Health Information

Authorization to Disclose Protected Health or Billing Information
This form is used to give Novant Health permission to release a patient’s medical or billing information to a specific person, organization, or facility designated by the patient.
Download PDF (English) · Download PDF (Spanish) · Instructions

Request a Correction to Your Record

Request to Exercise Privacy Rights: Amendment of Medical Record
This form is used to request a correction or amendment to a Novant Health medical or billing record when you believe the existing information is inaccurate or incomplete.
Download PDF (English) · Download PDF (Spanish)

Limit How Your Information Is Used or Shared

Request to Exercise Privacy Rights: Restrict the Use or Disclosure of PHI  
This form is used to request that Novant Health place limits on how your protected health information is used or shared, including specifying which information should be restricted and to whom it should not be disclosed.
Download PDF (English) · Download PDF (Spanish)

What’s Included in Your Medical Record

More Help With Medical Records

Questions about requesting medical records or potential fees? Our FAQs and billing details offer clear guidance on what to expect and how to prepare.