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Record Requests

Attorneys
Enforcement Agency
Patient + Non-Attorney
Required Documents
Processing Times
Additional Information
Contact Us

Attorneys – Record Requests

Attorney Requests for Record and Bills

All incoming requests for records to include Itemized Bills, must be submitted exclusively through https://chartswap.com/ 

NOTE: Records and bills may be sent separately.  

To process and release medical records, we require one of the following: 

For PATIENTS requesting release of records to representing attorney: 

Or, 

  • Submit your own Authorization Form, via your office letterhead. 

For AUTHORIZED REPRESENTATIVES requesting release of records to a representing attorney: 

Or, 

Or, 

  • A signed Authorization for Release of Medical Records via your office letterhead and this form completed and notarized.  

For ALL OTHER Requests for records: 

  • A subpoena signed by a judge authorizing the release of the records. 
  • A court order authorizing the release of the records. 

If you have any questions or need assistance, please contact our office at (704) 943-6000. 

 

Enforcement Agency – Record Requests

State and Federal Agencies such as: Law Enforcement, DHHS, and Department of Labor, may request records here.

Patient and Non-Attorney Record Requests

Complete this form and upload any required documentation.

Required Documents

  • Patients – Valid photo ID
  • Spouse/Next of Kin/Healthcare Power of Attorney – Valid photo ID and Healthcare Power of Attorney, court issued Letter of Administration, or this form notarized.
  • Parent of Minor Child – Valid photo ID, and birth certificate, guardianship paperwork or this form notarized.
  • Guardian – Valid photo ID, and court issued guardianship papers or this form notarized.
  • Executor/Administrator/Attorney in Fact – Valid photo ID, and Executor paperwork, Letter of Administration, or this form notarized.

Processing Time

Once we receive all documentation required under applicable privacy laws, we will begin processing your request.

  • Expedited processing is not available.
  • Requests are processed within 30 business days of the date all required documentation is received.
  • We do not provide attestations.

Additional Information

Records can be picked up at Medic headquarters during business hours. Bring a valid photo ID and any required documentation.

4425 Wilkinson Blvd

Charlotte, NC 28208

Mon-Fri 8:00am – 4:30pm

The Records Department does not handle:

  • Itemized statements
  • Payoff requests
  • Balance verifications
  • Medical insurance company records requests

These must be sent to the Billing Department at: pfs@medic911.com.

Contact Us

If you have questions, please fill out the form below.