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Request your medical records

If you would like a copy of your medical records, please complete the "Release PHI from VIM" form and either fax it to us at (336) 808-3628 or email it to info@vaughanintegrative.com.

Fax is often the best way for our office to transfer one or two appointment records to another physician, but sometimes certain documents cannot be faxed. For your complete chart, we recommend you request that records be mailed to your home or PO Box. This way, you have control over who gets copies in the future.

NOTE: You do not need to put your SSN on it… Instead, please put your Date of Birth in the SSN field.

The NC Legislature regulates the fees for medical record requests (NC statute 90-411). The minimum fee for this service is $10. Additional fees are as follows: $0.75 per page for the first 25 pages, $0.50 per page for pages 26-100, and $0.25 per page for pages 101 and beyond. There is a small charge for shipping through US Media Rate, usually less than $3 or $4.

Once we’ve received your request form and completed the request, someone will call to get your payment prior to sending them to your designated recipient.

Note: It may take up to 30 days to process your records request.

 
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