{"id":54878,"date":"2019-06-24T09:52:41","date_gmt":"2019-06-24T13:52:41","guid":{"rendered":"https:\/\/nortonhealthcare.com\/?page_id=54878"},"modified":"2026-01-14T14:33:54","modified_gmt":"2026-01-14T19:33:54","slug":"medical-record-request","status":"publish","type":"page","link":"https:\/\/nortonhealthcare.com\/patient-resources\/medical-record-request\/","title":{"rendered":"Medical Record Request and Authorization"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\" id=\"h-norton-healthcare-medical-record-request-and-authorization\">Norton Healthcare Medical Record Request and Authorization<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Obtaining your personal health information is your right. Norton Healthcare is simplifying this process by allowing you to submit your request online.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-release-of-information-form\">Release of Information Form<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Click on Complete Request below to submit an online release of information authorization. Once submitted, your request will be processed within 14 business days. Patient requests will be released to the patient\u2019s <a href=\"https:\/\/mychart.nortonhealthcare.org\/mychart\/\" target=\"_blank\" rel=\"noopener noreferrer\">Norton MyChart<\/a> account if an active account is available.<\/p>\n\n\n<div class=\"wp-bootstrap-blocks-button\">\n\t<a\n\t\thref=\"https:\/\/mychart.nortonhealthcare.org\/MyChart\/app\/release-of-information\"\n\t\t\t\t\ttarget=\"_blank\"\n\t\t\t\t\t\t\trel=\"noreferrer noopener\"\n\t\t\t\tclass=\"btn btn-primary\"\n\t>\n\t\tNorton MyChart &#8211; Release of Information Request Form\t<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Don&#8217;t have a Norton MyChart account?  You can submit a request through the online form <a href=\"https:\/\/medicalrecordrequest.nortonhealthcare.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">here<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are a physician office needing to request records for a patient please<a href=\"https:\/\/medicalrecordrequest.nortonhealthcare.org\/?role=Physician\" target=\"_blank\" rel=\"noreferrer noopener\">\u00a0click\u00a0here<\/a>.<\/p>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-submit-documentation-patient-request-completed-above\">Submit Documentation &#8211; Patient Request Completed Above<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Supporting documentation may be indicated at the time of your request for release of medical information. You may now submit this required documentation online and a Health Information Management associate will verify and process the documents.<\/p>\n\n\n<div class=\"wp-bootstrap-blocks-button\">\n\t<a\n\t\thref=\"https:\/\/medicalrecordrequest.nortonhealthcare.org\/documentation\"\n\t\t\t\t\ttarget=\"_blank\"\n\t\t\t\t\t\t\trel=\"noreferrer noopener\"\n\t\t\t\tclass=\"btn btn-primary\"\n\t>\n\t\tSubmit Documentation\t<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">If you are unable to complete your request online, you can submit a form via MyNortonChart, click on the Form below or call <a href=\"tel:+1(502) 629-8766\">(502) 629-8766<\/a>&nbsp;and ask that a form be mailed to you. All records will be mailed or submitted to you via Norton MyChart.<\/p>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-7e7c1b15-fb28-435a-8284-41c68133e7b9\" href=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/20161111authorizationwithdirections.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Medical Record Request\/Authorization Form<\/a><a href=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/20161111authorizationwithdirections.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-7e7c1b15-fb28-435a-8284-41c68133e7b9\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-4eae858e-0d1a-4ca1-a4a6-c920696b0729\" href=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/20161111spanishauthorizationwithdirections.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">En Espa\u00f1ol <\/a><a href=\"https:\/\/nortonhealthcare.com\/wp-content\/uploads\/20161111spanishauthorizationwithdirections.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-4eae858e-0d1a-4ca1-a4a6-c920696b0729\">Download<\/a><\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-submit-documentation\">Submit Documentation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">If you are the patient&#8217;s attorney or insurance representative and have an authorization form completed by the patient please feel free to upload both your request letter and copy of the signed authorization form here. Please ensure to include any necessary documentation such as Executor\/Personal Representative paperwork for a deceased patient or POA paperwork if applicable.<\/p>\n\n\n<div class=\"wp-bootstrap-blocks-button\">\n\t<a\n\t\thref=\"https:\/\/medicalrecordrequest.nortonhealthcare.org\/documentation\/thirdparty\"\n\t\t\t\t\ttarget=\"_blank\"\n\t\t\t\t\t\t\trel=\"noreferrer noopener\"\n\t\t\t\tclass=\"btn btn-primary\"\n\t>\n\t\tSubmit Completed Authorization\t<\/a>\n<\/div>\n\n\n\n<div style=\"height:60px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-contact-us\">Contact Us<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Health Information Management associates can be reached between the hours of 8 a.m. and 5 p.m., Monday through Friday, at <a href=\"tel:+1(502) 629-8766\">(502) 629-8766<\/a> or via email at <a href=\"mailto:RequestStatus@nortonhealthcare.org\">RequestStatus@nortonhealthcare.org<\/a>. Please allow up to two business days for e-mail response.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Health Information Management<br>N16 P.O. Box 35070<br>Louisville, KY 40232-5070<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Norton Healthcare Medical Record Request and Authorization Obtaining your personal health information is your right. Norton Healthcare is simplifying this process by allowing you to submit your request online. Release&#8230;<\/p>\n","protected":false},"author":15,"featured_media":37419,"parent":32,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-54878","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Medical Record Request and Authorization | Louisville, Ky. | Norton Healthcare<\/title>\n<meta name=\"description\" content=\"Norton Healthcare Medical Record Request and Authorization Obtaining your personal health information is your right. 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