Carolina Eye Associates is committed to protecting your health information and we are required by law to make sure that health information that identifies you is kept private. Our policies have been designed to protect your right to privacy and to allow you to control the release of information from your record.
Our medical records department handles requests for copies of patient medical records. Requests must be in writing so that we have a legal record of your request and to verify that you have given permission for the release of information. In order for your request to be processed you must complete the Patient’s Request to Access Protected Health Information form that is available to download under ‘Patient Forms’ on our Forms page. If you are a caregiver for someone and they are unable to sign, or you are the executor of an estate, we will also need a copy of power of attorney in order to release the records.
It usually takes seven to 10 business days to process your request upon receipt of your signed release.
Copies for You, Your Other Doctor or Health Care Provider
There is no fee for this service.
Please mail or FAX to us your completed ‘Patient’s Request to Access Protected Health Information’ form and include the date of any upcoming appointment you may have, so we can make sure the copied records get there on time. Please remember that it takes 7 to 10 business days to process your request.
Copies to an Attorney or to Other Legal Facilities
There is a fee for this service.
Please see your attorney about giving authorization to obtain information. They have their own authorization forms requiring your signature. We will notify them about the fee based on copy volume.
If you have any questions, please do not hesitate to call a staff member in our Medical Records Department at (910) 295-2100 or (800) 733-5357, extension 271 or 276. (Please note, our toll-free numbers can only be accessed in North Carolina and South Carolina. Callers from other states should call the local number listed.)
You can FAX authorization requests to (910) 295-4531. Requests by mail should be addressed to:
Carolina Eye Associates, P.A.
Attn: Medical Records Department
2170 Midland Road
Southern Pines, NC 28387