Requesting Patient RecordsOur medical records request process ensures your medical records are safely and confidentially maintained, while providing you ready access when you need them. Keep reading to learn more and download forms.
To request a copy of your hospital medical records for your own records or to request we send a copy to another health care provider, please download and complete the Patient Request for Access form.
If a copy of your hospital medical records is needed for your insurance company, attorney or employer, please download the Authorization for Release of Health Information form.
The completed form may be provided to our Medical Records Department by:
 U.S. Mail:
St. Luke's Hospital
Medical Records Department
101 Hospital Drive
Columbus, NC 28722
You may stop by the Medical Records Department Monday through Friday between the hours of 8:00 AM and 4:30 PM.
If you request that we send your records by email, please read the Guidelines for Email.
If the patient lacks legal capacity or is unable to sign, an authorized personal representative may sign this form. Written proof of authority should be provided for the following:
Power of Attorney
Court-appointed guardian or other legally appointed representative
Executor/administrator/attorney in fact
Affidavit next of kin
Valid identification may be required. Fees may apply. Some requests are subject to prior approval by the physician or therapist to release your health information.