To receive a copy of your medical record, print out and complete our authorization form.

When you bring the form to the Medical Records Department, you’ll be asked to produce a valid picture ID. If you mail or fax your completed form, your signature must be witnessed by a notary public and the seal must be on the document. If you have any questions about your medical record, please contact the Medical Records Department at 252-499-6528. The department is open for walk-in customers from 8:30am - 5:00pm, Monday through Friday.