Medical Records Requests

At Piedmont Healthcare, we are dedicated to your health and well-being. We're also strong advocates for patient privacy. The notices below explain the strict conditions under which your medical information may be distributed to other organizations, and how you can send your medical records to other doctors or Hospitals.

By completing this form, we can send your medical records to a physician, another hospital or provide them to you.

Download a Request for Medical Records form below. A copy of your government ID is required.

Request Form (English)   Request Form (Spanish)