Medical Records
Visitor Guidelines
Only ONE party at a time will be allowed into the department. The department door will be locked and visitors must ring the doorbell outside the department door. If you ring the doorbell and no one immediately comes to the door, HIM is currently busy assisting a customer and will be with you promptly.
You can still complete a records form online below or mail/fax in the form. For any questions, please call 919-938-7705.
Our Release of Information staff will be happy to assist you with requests for your medical records.
We can assist you with the following:
- Access to your medical records
- Obtaining copies of your medical records
- Requests to amend your medical records
The Release of Information Office is located within the Health Information Management Department in UNC Health Johnston Smithfield. The office is open from 8:00 a.m. till 4:30 p.m. Monday through Friday. To reach the office, call 919-938-7705.
How to Request Information
Medical Record
To request a medical record, you have two options.
Online– create an account or log in to your My UNC Chart patient portal and request a copy of your medical records.
In Person– complete the Authorization for Release of Information form and submit it with a copy of your identification, such as your drivers license. Forms may be acquired and submitted in person in the HIM Department. You may also print and mail in the English Authorization for Release of Information Form [PDF] or Español Autorizacion Para Divulgar Informacion [PDF] to the following address:
UNC Health Johnston
Attn: Health Information Management – Release of Information
PO Box 1376
Smithfield, NC 27577
Requests for records will take approximately 10 to 14 days to process.
Amendment of Protected Health Information (PHI)
Request for Amendment of Protected Health Information (PHI) Form [PDF]
Formulario de solicitud de enmienda de la información médica protegida [PDF]
Fees
There is no charge to send copies of your medical records directly to another health care provider. However, if copies are for a patient’s personal use, photocopy fees may be assessed.
Release of Information Questions
If you have specific questions about the release of custody cases, protected medical information, behavioral health records, release of expired patient records, or cases that require further clarification, please call:
-
Release of Information Office, 919-938-7705
-
Privacy Officer, 919-938-7154
When It’s Time to Leave the Hospital
When you are ready for discharge, you will receive instructions on how to care for yourself at home. If there’s something you don’t understand, please ask questions.
Tell Us How We Did
Our goal is to provide you with excellent care. To evaluate our performance, we regularly conduct patient satisfaction surveys. If you receive a survey, please take the time to provide us with your feedback related to your care.
