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, sent to other doctors or hospitals or provided for personal use.

There are several ways you can request your medical records:

  • MyChart Request for Records
    MyChart gives you secure online access to your medical record. If you already have a Piedmont MyChart account, you can request a copy of your medical records through the Sharing Hub tab on the main menu. You will receive a message in MyChart when the records are available to view, print or download.

    MyChart Records Tip Sheet

  • e-Request for Records
    You may e-Request copies of your medical record via a secure website hosted by our release of information partner, Datavant. When using this online patient request option, your records will be sent via secure E-delivery or mail.

    Start Request

  • Paper Request for Records
    By completing the form below, we can send your medical records to a physician or another hospital or provide them to you. Download the Request for Medical Records form below. A copy of your government ID is required.

    Request Form (English)   Request Form (Spanish)

  • Fax or E-mail Request for Records
    You may fax your request and government-issued ID to the facility fax number listed on the request form or email your completed request form and government-issued ID to In the subject line of your email, please type in the hospital name where you received care and are directing the request form. Use these tips to avoid unnecessary delays:
    • Proofread your form to ensure all applicable blank spaces are completed and boxes are checked before you email the completed form and a copy of your government-issued ID.
    • For a method of disclosure, you may check the box for Mail, Secure Email Portal, or pick up at the location. Please check only ONE box.
    • Make sure the applicable dates of service are entered.
    • Most importantly, please include the hospital name in the subject line of your email where you are directing your request.
Piedmont App

Download the Piedmont Now app

  • Directions
  • Indoor Hospital Navigation
  • Find & Save Physicians
  • Online Scheduling

Download the app today!

Get the Piedmont Now on Google Play Get the Piedmont Now on iTunes App Store