Request Your Child's Medical Records

CHKD can provide you with a copy of your child's medical record. Please review the information below to get your records.

Primary Care Medical Records 

If you need a medical record from your child's CHKD pediatrician, please visit their web page and click on this icon  to complete a medical records request form. If you do not see the icon, please call your pediatrician's office for instructions. 

All Other Medical Records 

All other medical records requests can be made in one of the following ways listed below: online, or by mail, email, or fax. 

Online

Please note: This service is for requesting medical records from CHKD's main hospital campus, specialty, and surgical providers only. The online records request tool verifies your identity by asking for a photo of your driver's license, which can be taken via webcam or smartphone. This tool is available in both English and Spanish. There is no additional charge to use this service. 

*Chrome, Safari, and Firefox are the recommended browsers for this application. 

Click Here to Request Medical Records

Mail, Email, or Fax

You may also download a blank form from the list below and submit it via mail, email or fax. 

• Medical Records Release Form - English
• Medical Records Release Form - Spanish
• Medical Records Release Form - Including Substance Use Disorder Information
• Medical Records Release Form - Including Substance Use Disorder Information - Spanish

Submit the completed form with your handwritten signature via email, fax, or mail.

• Email: HIMRecordRelease@CHKD.org
  If you choose to provide a completed authorization for release of information form via unsecured email, there may be risks to the security of the health information in that form. CHKD therefore cannot guarantee the security and confidentiality (privacy) of that information, and is not responsible and/or liable for any breach that may occur to that transmission. All requests for information submitted via email, fax, or USPS must include a copy of a government issued photo ID.
• Fax: (757) 668-7625
• Mailing Address: Attn: Health Information Management, 601 Children's Lane, Norfolk, VA 23507  

Receiving Your Child's Medical Record Information

Please note under the HIPAA Privacy Rule, CHKD has up to 30 calendar days from the date of the request to provide copies of the medical record. In some cases, the requestor may be charged a fee of $6.50 for each medical record request. If a fee is associated with your request, an invoice will be included with the records when processed. Upon receipt, you may pay the invoice with a credit card by calling (757) 668-7221. You can also pay your invoice by mailing a check or money order to:

The Children's Hospital of The King's Daughters
Attn: Medical Records
601 Children's Lane
Norfolk, VA 23507

Questions?

Please contact our health information management team at (757) 668-7221 or email HIMRecordRelease@CHKD.org.