Medical Records

How to Request Medical Records

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There are several ways to request and obtain your protected health information. We recommend using MyChart as the most secure, easiest and most convenient way to request and obtain records at no cost.

For questions, status updates, payments, or help with your medical record request, contact Novant Health Enterprise Release of Information (ROI) Customer Service at 1‑844‑763‑9163. Medical records request processes differ by facility, so review the details below to ensure you contact the correct team.

Patient right of access

You have the right to review and request a copy of your protected health information maintained by or for Novant Health for as long as the information is maintained by Novant Health or a business on Novant Health’s behalf. This includes having it 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 be charged for printed copies of your medical records and for copies of diagnostic images not available in MyChart, your secure patient portal. Please visit our Fees & Billing for Medical Records page for a 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