Request Medical Records

To request a copy of medical records fill out the form below.


For questions regarding medical records, or to obtain the status of your request contact us at (919) 787-6131.
You can download a Consent to Release Information form here to fill and email completed form to or fax to: (888) 890-6295 or physically bring to: 3125 Poplarwood Ct Suite 203 Raleigh, NC 27604