You can request information from your medical record in these formats:
Authorization of Use and Disclosure - complete for both paper and electronic records
Request for Alternative Communication of Protected Health Information via Email - complete for records via email only
Once the forms are completed, please mail or bring in person to the address listed on the form. Proof of identity is required when you pick up medical records in person (driver's license or other government issued photo ID). The patient or the patient's legal representative must sign the Authorization of Use and Disclosure. If you are the patient's legal representative, we require proof that you may sign on behalf of the patient (example: Copy of the Medical Power of Attorney papers).
You can also access many documents and results related to your care online with PatientLink, CAMC's free and secure patient portal. Visit our PatientLink site to learn more or sign up for access.
If you need information from your medical record sent to another provider, please call (304) 388-1308. There is no charge for this service. (A provider is someone who is providing professional medical care for you. An example would be a specialist to whom you have been referred.) Please provide the name, address, phone and fax number of the physician/provider to whom you want the information sent.
The release of information office is open Monday – Friday from 8 a.m. to 4:30 p.m. and can be reached by calling (304) 388-1308. It is located at the CAMC Document Center in the Kanawha City area of Charleston.
Please refer to the CAMC Notice of Privacy Practices for more detailed information regarding how medical information about you may be used and disclosed.