To request an official copy of patient records please complete the appropriate form shown below. Once completed please mail your form to Wilmington Health Medical Records Department at:
Attn: Medical Records
1202 Medical Center Drive
Wilmington, NC 28401
Please ensure that all information is complete and legible including the patient name, date of birth, and a phone number that can be used to contact the requestor with any questions. Please note, if you are not the patient please indicate your relationship and include documentation of your legal designation such as Custodial paperwork, death certificate or Healthcare Power of Attorney.
For questions please contact our Medical Records department at 910-341-3308.
Medical Records Request Form
Authorization to Release Medical Records
Authorization to Release Medical Records (Spanish)