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THE INFORMATION IN THIS BOX IS NOT A PART OF THE CONTRACT AND IS FOR COUNTY USE ONLYContract NumberSAP Number 4400011562Arrowhead Regional Medical Center Department Contract Representative Telephone
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How to fill out request medical recordsunc health

01
Visit the UNC Health website or the specific portal for medical records.
02
Locate the section for requesting medical records.
03
Fill out the request form with the required personal information, including your name, date of birth, and contact details.
04
Specify the records you wish to request and the time frame of the records needed.
05
Sign and date the request form to authorize the release of your medical information.
06
Submit the completed request form via the provided method (online submission, mail, or fax).
07
Wait for confirmation from UNC Health regarding the processing of your request.

Who needs request medical recordsunc health?

01
Patients who wish to access their personal medical records for review or transfer.
02
Family members or guardians requesting records on behalf of a patient.
03
Healthcare providers needing access to a patient's medical history for continuity of care.
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Requesting medical records from UNC Health involves obtaining copies of personal health information and medical history for various purposes, such as personal review, transfer to another healthcare provider, or legal reasons.
Individuals who wish to access their medical records, including patients, legal guardians, or authorized representatives, are typically required to file the request.
To fill out the request, individuals should complete a designated form provided by UNC Health, providing necessary identification information, specific medical records requested, and the reason for the request.
The purpose of requesting medical records is to ensure patients can access their health information for continuity of care, personal reference, or legal needs.
The request must include the patient's full name, date of birth, contact information, specific details of the records requested, and the signature of the individual making the request.
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