Medical Records
Your health record includes your medical history such as allergies, medicines, and test results, as well as health insurance information and how to contact you. It is the duty of Cape Fear Valley Health to ensure that your record remains confidential and accessible and is maintained and released in accordance with applicable laws.
If the patient is under 18 or an incompetent adult, a parent or legal guardian must sign the consent release. With your signed authorization request, please include a copy of your government-issued photo ID and any legal documentation giving evidence of your right to request information on the patient’s behalf. For additional information, please consult our FAQ page.
If a patient is deceased, the legally appointed executor of an estate or next of kin must consent to the release along with supporting documentation. Deceased patient records are protected under HIPAA laws and require specific documentation to be submitted in addition to a signed authorization request.
Request Your Medical Records from Cape Fear Valley Health
To request copies of Billing and/or Medical Records, please submit a HIPAA compliant patient authorization and request to Cape Fear Valley Health, Attn. Release of Information and select one of the methods below.
Also be sure you know your medical records privacy rights.
MyChart
For records created within the last 5 years, submit a request through MyChart OR
Download the Cape Fear Valley Health Authorization for Release of Protected Health Information Form in English (PDF, XKB) and Spanish (PDF, XKB).
Fax
Patient requests 910-615-6925; all other requesters 855-370-3872.
Email a PDF of your completed authorization to Medical Records. (mroroi@capefearvalley.com). Prior to sending your completed authorization by email, review our Guidelines for Electronic Communication.
Cape Fear Valley Health
Attn: Health Information Management Department
1638 Owen Dr.
Fayetteville, NC 28304
Customer Service
Questions? Give us a call at 910-615-7742.
Walk-In
You may stop by at any of our locations during specific walk-in hours.
| Location | Hours |
| Cape Fear Valley Medical Center | 10:00 a.m. - 3:00 p.m. |
| Betsy Johnson Hospital | 10:00 a.m. - 3:00 p.m. |
| Central Harnett Hospital | 9:00 a.m. - Noon |
| Hoke Hospital | 9:00 a.m. - Noon |
| Bladen County Hospital | 9:00 a.m. - Noon |
| Highsmith Rainey Specialty Hospital | 9:00 a.m. - Noon |
Request Formal Copy of Health Record
Request your medical record by answering the below questions. This request requires processing and may take a few days.
Medical Records Forms and Instructions
| Online Form | Downloadable Version |
| Authorization for Release of Protected Health Information English/Spanish | Download |
| Request for Amendment of Protected Health Information | Download |
| Medical Records Privacy Rights | Link |
| Request for Restrictions on Use and Disclosure of Health Information | Download |
| Request for Accounting of Disclosure of Health Information | Download |
| Revocation of Authorization for Release of Protected Health Information | |
| Guidelines for Electronic Communication | |