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.
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.
Your Child's Medical Records
Medical records can be requested online or by calling (757) 668-7221.
*Chrome, Safari, and Firefox are the recommended browsers for this application.
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
- Medical Records Release Form - Including Substance Use Disorder Information - 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: Attn: Health Information Management, 601 Children's Lane, Norfolk, VA 23507
Receiving Your Child's Medical Record Information
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.
Your Privacy is Important to Us