COVID-19 Information for Anyone Requesting a Medical Record

In an effort to protect the health and safety of our patients, families, visitors, and staff, our release of information department is no longer open to the public. To receive a copy of your child's medical record, please use the online records request tool below or download and complete the paper form below and submit it via email to HIMRecordRelease@CHKD. You may also mail or fax your completed form. 

Online Medical Records Request

Children's Hospital of The King's Daughters now offers an online records request tool that 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. 

This service is for requesting medical records from CHKD's main hospital campus, specialty and surgical providers only. If you need a medical record from your pediatrician, please visit

Please note, 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. 

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

  • Email:
    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.
  • Fax: (757) 668-7625
  • Mailing Address: Attn: Health Information Management, 601 Children's Lane, Norfolk, VA 23507

Receiving Your Child's Medical Record Information

All requests will be processed in the order they are received. Please note that it may take up to 30 days to complete your request. If you are requesting records for yourself or your child, there is a flat rate fee of $6.50. You will be receiving an invoice in the mail within a few business days of submitting your request. You can pay your invoice by check, money order, or credit card by calling (757) 668-7764.


Please contact our health information management team at (757) 668-7764 or email