Release of Medical Records

Your Patient Portal has the most up to date records and can be seen easily once you set up your account.

You can request your medical records online, by fax or in person.

To request your medical records online, please follow the appropriate link below:

I am the Patient

Authorization Form (English)

I am a Patient Representative

Authorization Form (English)

I am an Attorney

Authorization Form (English)

To fax your request, print out the authorization Medical Records Authorization for Release of Information.pdf, fill it out and fax to 877.792.5632.

To pick up records in person, visit the Health Information Management (Medical Records) Department, located in the Medical Arts Building near the front lobby of the hospital.

Central Carolina Hospital
1135 Carthage Street
Sanford, NC 27330

Hours of Operation:

Monday to Friday, 8 am to 4 pm

Closed on Holidays

Phone:

CCH Health Information Management Department: 919.774.2150

CCH Health Information Management Fax: 919.774.2346

Verisma Customer Support: 919.774.2150

Verisma Fax Number: 877.792.5632

Requests are fulfilled by our partner, Verisma.