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.
You can access portions of your electronic medical record online with MyAtriumHealth. That includes things like your medical history, test results and immunization records.
Submit your records request electronically via your MyAtriumHealth portal.
To request a copy of your medical records/imaging for yourself or to send to your healthcare provider, complete a Patient Request for Access Form
To request a copy of your medical records/imaging to be sent to an insurance company, attorney, school or other organization, complete an Authorization for Release of Health Information form.
Submit your completed forms via one of the options below:
MailAtrium Health
Corporate Health Information Management Release of Information
PO Box 32861
Charlotte, NC 28232
Fax
704-446-6037
Email a PDF or image of your completed form to MedicalRecordsROI@atriumhealth.org.
Prior to sending your authorization by email, review our Guidelines for Electronic Communications.
Please call us at 704-667-9500 or toll-free at 844-383-2109 if you have questions or would like a blank form mailed to you.
To request a copy of your substance use medical records for yourself or to be sent somewhere else, complete an Authorization for Release of Health Information form.
Submit your completed forms via one of the options below:
Atrium Health
Corporate Health Information Management Release of Information
PO Box 32861
Charlotte, NC 28232
Fax
704-446-6037
Email a PDF or image of your completed form to MedicalRecordsROI@atriumhealth.org.
Prior to sending your authorization by email, review our Guidelines for Electronic Communications.
Please call us at 704-667-9500 or toll-free at 844-383-2109 if you have questions or would like a blank form mailed to you.
To request your billing records, please contact the business office at 704-512-7171.
To request pathology slides, please contact your nearest hospital location and ask for the Pathology Department.
Birth and death certificates are legal documents managed by the state. Please contact your local agency below:
NCDHHS: DPH: NC Vital Records: Order a Certificate
Phone: 919-733-3000
South Carolina Birth Certificate, Death Record, Marriage license and other vital records
Phone: 877-284-1008
If you need additional information regarding your immunization records, please contact your state's immunization office.
To request a correction or addition to your medical records please do one of the following:
Submit your amendment request via your MyAtriumHealth portal.
Complete, date and sign the Health Information Amendment Form
Submit your completed forms via one of the options below:
Atrium Health
Corporate Health Information Management Release of Information
PO Box 32861
Charlotte, NC 28232
Fax
704-446-6037
Email a PDF or image of your completed form to MedicalRecordsROI@atriumhealth.org.
Prior to sending your authorization by email, review our Guidelines for Electronic Communications.
Please call us at 704-667-9500 or toll-free at 844-383-2109 if you have questions or would like a blank form mailed to you.
Customers needing assistance may call our 24/7 service center at 704-667-9500 or toll-free at 844-383-2109.
Minors (patients under 18 of age): The parent or legal representative must complete, sign and date the Patient Request for Access Form or submit a medical records request via the minor’s MyAtrium Health account, unless the minor is emancipated. A legal guardian may be asked to provide proof of guardianship.
Note: If minor consented for their outpatient treatment for pregnancy, sexually transmitted disease or behavioral/mental health without parental consent, the minor may sign the Patient Request for Access Form. When the patient is a minor being treated for substance use, the minor and the parent both may be asked to sign the Patient Request for Access Form, regardless who consented for treatment.
Patients 18 and older: Under most circumstances, patients over 18 must sign or request records themselves. If the patient has a legal guardian or representative, the legal guardian must provide proof of authority in order to complete the Patient Request for Access Form/ Authorization to Release Information Form or submit a request via the patient’s MyAtrium Health portal on behalf of the patient.
Deceased patients: To obtain a copy of a deceased patient’s record, you must complete, date and sign a Patient Request for Access Form and provide proof of authority and identity, such as:
At Atrium Health, we want to help patients understand their privacy rights. We also want patients to understand how to exercise these rights and what to expect from Atrium Health. Learn more about your Medical Records Privacy Rights.