To ensure you receive the best possible care, medical information is routinely exchanged between healthcare professionals. This includes records sent to specialists, emergency departments, other hospitals, etc. There is no charge or patient authorization required for this process. In some instances, you may want a copy of your medical records. Because you have a right to your personal health information, we have a process in place that both protects your information and still allows for easy access by you and those you designate as your representative.
All requests for healthcare information or copies of healthcare records require a written authorization (Release Of Information Consent Form) completed by you or your legal agent/representative. Due to the confidential nature of personal health information, records cannot be faxed. Requested health information can be emailed via a secure server, sent via the United States Postal Service to the address as indicated by you on your consent form or picked up at the hospital. When picking up records, a form of identification (photo ID preferred) must be presented before the records are released to ensure you (or your legal agent) is the only person(s) obtaining your records.
Please complete and sign the Release Of Information Consent Form and submit it to the Health Information Management Services Department.
Note: this form is for hospital records only. To obtain your records from an Urgent Care Center, one of our Medical Group Practices, the Outer Banks Testing and Therapy Center or the Center for Healthy Living, please visit their location page (Center for Healthy Living services page) for the correct form. The hospital cannot provide records of visits to those entities.
Outer Banks Health
Health Information Management Services
4800 S. Croatan Highway
Nags Head, NC 27959
Hand-written consent will be accepted only if it includes the patient’s name with the date of birth and social security number, the name of the hospital releasing the records, the name of the person/entity the records are to be released to, the dates of the services to be released, the types of documents requested (i.e. films, lab work records, etc.), the signature of the patient or legal guardian, a witness’s signature, and date of the patient’s signature.
For more information, contact Health Information Management Services at 252-449-4520.