Menu

Popular Pages

Medical Records

To Obtain a Copy of Medical Records 

Requesting personal medical records

Patients requesting a copy of their Medical Records must appear in person:

Mailing or faxing to a physician, hospital, medical facility (no fee):

There is no charge for medical record information sent to another physician, hospital or medical facility, etc. The following is required:

  • A completed Authorization for Use and Disclosure of Protected Health Information - English is required. 
  • A completed Authorization for Use and Disclosure of Protected Health Information - Spanish is required.
  • Must have complete name, complete address to include street number and zip code, telephone number and fax number
  • Our agency does not honor "Blank or Open Requests." The request must be specific as to the type of information requested and the time frame specified.
  • Patient's signature and/or authorized representative's signature is required on the bottom of the form, giving authorization for medical information to be faxed. It is not the policy of our agency to fax sensitive information pertaining to HIV, Communicable Disease and Family Planning unless authorized.

Mailing or faxing to an attorney, social security disability, insurance companies, etc. (fee required):

Request for medical record information sent to an attorney, social security disability, insurance companies, etc, will require a charge based on the number of pages copied. An invoice will be faxed to the appropriate requester for approval of payment. Payment must be remitted before records are disclosed. The following is required:

  • Complete a Authorization for Use and Disclosure of Protected Health Information - English or Spanish version
  • Must have complete name of facility, complete address to include street number and zip code, telephone number and fax number.
  • Our agency does not honor "Blank or Open Requests." The request must be specific as to the type of information requested and the time frame specified.
  • Patient's signature and/or authorized representative's signature is required on the bottom of the form, giving authorization for medical information to be faxed. It is not the policy of our agency to fax sensitive information pertaining to HIV, Communicable Disease and Family Planning unless authorized.

Record requests are usually processed within 7 to 10 business days.

Mail or fax request to:  Cumberland County Department of Public Health
Attn: Medical and Vital Records Support Division
1235 Ramsey Street
Fayetteville, North Carolina 28301
910-433-3895


Request to Review Protected Health Information:

Individuals have the right to request for review of their protected health information contained in their designated record set. A request can be made by downloading the form, fill the form out, and mail the form to the address listed above.

Request to Amend Protected Health Information:

Individuals have the right to request for review of their protected health information contained in their designated record set. A request can be made by downloading the form, fill the form out, and mail the form to the address listed above. A representative from the Agency will contact you to set up an appointment for review to amend:

Mail the form to the address above or fax to the Medical Vital Records Division at 910-433-3895. An Agency representative will contact you to set up an appointment for review of amendment request.

Contact Us

1235 Ramsey Street
Fayetteville, NC 28301

Phone:  910-433-3600
Fax: 910-433-3659

Interim Director: Rodney Jenkins

Medical Records

Phone:  910-433-3857
Fax:  910-433-3895
Hours:  Monday - Friday
  8 a.m.-5 p.m.