Carolinas HealthCare System

Our medical records request process ensures your medical records are safely and confidentially maintained, while providing you ready access when you need them. Keep reading to learn more and download forms. Also be sure to know your medical records privacy rights.

Requesting Your Medical Records

There are a few ways you can request copies of your medical records, depending on the type of information you need.

Online Medical Records:

You can access portions of your electronic medical record online with MyCarolinas. That includes things like your medical history, test results and immunization records.

Physician Office Medical Records:

To request a copy of your medical records for yourself or your healthcare provider, complete a Patient Request for Access Form: English en Español

To request a copy of your medical records to be sent to an insurance company, attorney, school, or other organization, complete an Authorization for Release of Health Information: English | en Español

Complete the appropriate form and submit it by mail, fax or in person to the physician office where you received treatment.

You may also request the appropriate form by calling or visiting your physician office

Hospital Medical Records:

To request a copy of your medical records for yourself or to send to your healthcare provider, complete a Patient Request for Access Form: English en Español

To request a copy of your medical records to be sent to an insurance company, attorney, school, or other organization, complete an Authorization for Release of Health Information: English | en Español

There are a few options to get your request to us:

Mail:
Carolinas HealthCare System
Corporate Health Information Management
PO Box 32861
Charlotte, NC 28232-2861

Fax: 704-446-6037

Walk-In: You may stop by at any of our locations during specific walk-in hours.

Email: Email a PDF of your authorization to Medical Records

Prior to sending your authorization by email, review our email guidelines.

Questions? Call us at 704-667-9500.

Other Information You May Need to Know

If you are requesting records for a patient who lacks legal capacity or is unable to sign, an authorized personal representative may sign this form. Written proof of authority should accompany the request in order to verify appropriate health information access for the following:

  • Court-appointed guardian or other legally appointed representative
  • Executor/administrator/attorney in fact
  • Affidavit next of kin
  • Power of Attorney

Verification of identity is required. Fees may apply. Some requests are subject to prior approval by the physician or therapist to release your health information.

Behavioral Health/Substance Use Medical Records:

To request a copy of your behavioral health/substance use medical records for yourself, complete a Patient Request for Access Form: English en Español

To request a copy of your medical records to be sent to another healthcare provider, an insurance company, attorney, school, or other organization, complete an Authorization for Release of Health Information: English | en Español

Some requests must be approved by a physician or therapist prior to releasing your health information. Contact the Medical Records Department of the behavioral health facility in which you were treated to request your records.

There are a few options to get your request to us, and if you have questions, call us at 704-358-2830.

Mail:

Carolinas HealthCare System
Release of Information
501 Billingsley Road
Charlotte, NC 28211

Fax: 704-358-2969

Walk-In: You may stop by any of the locations below:

Carolinas HealthCare System Behavioral Health-Charlotte

A facility of Carolinas Medical Center (formerly CMC-Randolph)
501 Billingsley Road
Charlotte, NC 28211

Phone: 704-358-2830
Walk-in Hours: Monday - Friday, 8:30 a.m. - 4:30 p.m.

Carolinas HealthCare System Behavioral Health-Davidson

A facility of Carolinas Medical Center
16740 Davidson-Concord Rd. (Hwy. 73)
Davidson, NC 28036

Phone: 704-801-9400
Walk-in Hours: Monday - Friday, 8:30 a.m. - 4:30 p.m.

Carolinas HealthCare System Behavioral Health-First Step

Carolinas HealthCare System Union
600 Hospital Drive
Monroe, NC 28112

Phone: 704-667-9500
Walk-in Hours: Monday - Friday, 8:30 a.m. - 5 p.m.

Behavioral Health Center - Carolinas HealthCare System Kings Mountain

706 W. King St.
Kings Mountain, NC 28086

Phone: 980-487-5470
Walk-in Hours: Monday - Friday, 8:30 a.m. - 4:30 p.m.

Carolinas Medical Center-Mercy

2001 Vail Ave.
Charlotte, NC 28207

Phone: 704-304-5248
Walk-in Hours: Monday - Friday, 8 a.m. - 4:30 p.m.

Requesting Other Types of Records

Billing Records

To request your billing records, please contact the business office at 704-512-7000.

Radiology Images or Imaging Films

To request your radiology images, please contact your nearest hospital location and ask for the Radiology Department.

Birth or Death Certificates

Birth and death certificates are legal documents managed by the state. Please contact your local agency below:

North Carolina Department of Health and Human Services
Phone: 919-733-3000

South Carolina Vital Records Office
Phone: 877-284-1008

Immunization Records

If you need additional information regarding your immunization records, please contact your state’s immunization office.

Requesting A Correction or Addition (Amendment) to Your Medical Record

Please complete, date and sign the Health Information Amendment form: English | en Español

Mail to:

Carolinas HealthCare System
Corporate Health Information Management
Attention: Administration
PO Box 32861
Charlotte, NC 28232-2861

Please call 704-667-9500 if you have questions, or would like a form mailed to you.

All Medical Records Forms

Forms

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