Your Child's Medical Records

Please review the information below to request a copy of your child's medical records.

Primary Care Medical Records Requests

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

All Other Medical Records Requests

All other medical records requests can be made in one of the following ways listed below. 

NOTE: Parents and Patients are not charged a fee for copies of their medical records.

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.

Mail, Email, or Fax

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

• Medical Records Release Form - English
• Medical Records Release Form - Spanish
• Medical Records Release Form - Including Substance Use Disorder Information - English
• Medical Records Release Form - Including Substance Use Disorder Information - Spanish
• Authorization for CHKD to Obtain and/or Exchange Protected Healthcare Info - English
• Authorization for CHKD to Obtain and/or Exchange Protected Healthcare Info - Spanish

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:

Children's Hospital of The King's Daughters
Attn: Health Information Management
601 Children's Lane, Norfolk, VA 23507

Receiving Your Child's Medical Record Information

Effective September 1, 2025, we will be implementing a price adjustment* for all billable medical record requests. To maintain our high standards and continue providing exceptional service, we will follow the fee schedule for medical records detailed in Virginia Code §8.01-413B - See fee scale here.

We understand that any price change requires adjustment; therefore, our current price of $6.50 per request, will remain in effect until August 31, 2025. If you have any questions or concerns, please contact the Director of Health Information Management at (757) 668-7765.

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:

Children's Hospital of The King's Daughters
Attn: Health Information Management
601 Children's Lane, Norfolk, VA 23507

NOTE: Parents and Patients are not charged a fee for copies of their medical records.

*This price adjustment does not currently apply when requesting medical records from our CMG clinics (subject to change).

Questions?

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