Request for Release of Medical Records for a CHKD Practice

Need a practice's address?

Many of our practices accept online requests. If your practice is listed below you can have your child’s medical records transferred directly to another physician or practice.

Practices accepting online requests

If your practice is not listed, please download our Medical Records Release Form. If you would like to receive a copy of your child’s hospital medical records, please follow the instructions on our Medical Records site.

Only a parent or legal guardian can request a copy of your child’s medical records. Copies of the medical records are processed within 15 business days from your request. The practice will inform you if it cannot be processed within that time frame.

Patient fees for copies of medical records

There is no charge for releasing copies of your medical record directly to another healthcare provider and we will forward the requested copies for you. However, if you are requesting copies for your own records, there is a nominal processing charge and our fee schedule is shown below. We will contact you when your copies are ready for pickup, at which time payment may be made by cash, check or credit card.

Virginia Fees North Carolina Fees
Shot/Immunization Record$5.00 per record per child. Pages 1-25$0.70/Per Page
Pages 1-50$0.50/Per Page Pages 26-100$0.50/Per Page
Pages 51 and up$0.25/Per Page Pages 101 and up$0.25/Per Page
Shipping and PostageAdd 10% Shipping and PostageAdd 10%
Excludes copies of x-rays