Medical Records
Medical Records
Patients who have received care at this facility may request copies of their medical records/health information to be released to themselves or others/third parties. Please see below for frequently asked questions about medical records for important information before submitting a request for records. Record requests from patients are handled as a priority and will be released promptly.
If you have created a Patient Portal account, you may already have access to the information you need. Click here to access or register for your patient portal.
Requesting your medical records online is an easy, fast, and secure way to receive your information. We recommend online medical requests whenever possible.
If you are unable to use the online request process, download one of the forms below, complete it, and send it to:
Duke Health Lake Norman Hospital
Phone - (704) 660-4035
Fax - (704) 660-4038
Fax is for patient care requests only.
All other requests - insurance companies, attorneys, etc. - must be mailed.
Mailing Address
Attn: Medical Records Department
Duke Health Lake Norman Hospital
P.O. Box 3250
Mooresville, NC, 28117
Physical Address
171 Fairview Road
Mooresville, NC, 28117
Patient Request for Health Information Form - English (PDF 101 KB)
Patient Request for Health Information Form - Spanish (PDF 279 KB)
Questions About Medical Records
Who can request a patient’s medical records?
Authorizations must be signed by the patient or the patient’s legal representative. If the patient is a minor (under age 18), authorization must be signed by a custodial parent or a legally appointed guardian. Proof of guardianship is required.
What if the patient is unable to sign the authorization?
If the patient is unable to sign by reason of physical or mental disability, authorization may be signed by the next-of-kin or legally appointed guardian. Proof of guardianship is required and must indicate the patient’s disability.
How can I receive records for someone who is deceased?
Authorization must be signed by the personal representative of the estate or next-of-kin. If the patient did not expire at the facility, proof of death is required. Additionally, appointment as the personal representative of the estate or status as next-of-kin must be verified.
What types of documentation are needed if I am requesting records for someone else?
If you hold Power of Attorney (POA), are a Healthcare Surrogate or Healthcare Proxy, the related legal forms and court orders must be provided. This may result in additional review and processing times.
Do medical request authorizations expire?
Yes. Authorizations will expire on the date/time or event specified on the release form. A new release form will be required if an older release form does not support the new request for records.
Do medical records include billing information?
No. The Medical Records Department does not have access to billing records or information.
Will there be a charge for copies of my medical records?
There may be a charge for copies of medical records for yourself or a request directed to a third party (excluding continuity of care request). These charges would be in accordance with HIPAA reasonable cost and/or your state law. Contact the HIM Department for questions concerning potential costs.
Patient Rights and Privacy
We view health care as a partnership between you and your caregivers. We are dedicated to respecting patients' rights, values and dignity, and facilitating your understanding of your responsibilities as partners in the treatment process. Please take a moment to read your patient rights. You can also learn more about the Health Insurance Portability and Accountability Act (HIPAA), and view Duke Health's notice of privacy practices.
If you have any questions, please contact our Patient/Visitor Relations Department at 919-862-5845.
Living Wills and Advance Care Planning
If you are 18 or older, and mentally competent, you have the right to make decisions about your medical care. Living wills, a health care power of attorney, and advance instruction for mental health treatment are legal forms that help you make decisions about your medical care.