Instructions on How to Complete the Authorization Form:
- Download the Duke Health Enterprise Authorization for Release of Protected Health Information Form (PDF, 99.84 KB) in English
- Download the Duke Health Enterprise Authorization for Release of Protected Health Information Form (PDF, 111 KB) in Spanish
- View the instructions for completing the authorization form (PDF, 153 KB)
- Download the Duke Health Enterprise General Authorization to DHE Providers' Access to Individual Electronic Medical Record (Maestro Care) (PDF, 675.45 KB)
- Download the Duke Health Enterprise Minor Patients (12-17 Years) Authorization to DHE Providers' Access to Individual Electronic Medical Record (Maestro Care) (PDF, 670.37 KB)
- Download the Duke University Health System Affidavit of Surviving Spouse or Next of Kin (PDF, 82.04 KB)
- Download the Duke University Health System Request for an Accounting of Disclosures Form (PDF, 39.99 KB)
Written authorization is required for medical records and must be submitted directly to the hospital’s Health Information Management department. You may mail the request to the centralized release of information department:
Duke University Hospital
Health Information Management
Release of Information
PO Box 3016
Durham, NC 27710
919-684-1700
Additionally, there are three walk-in locations at which you can visit the Medical Records Department and obtain your medical records. If you are coming in person to request records, please make sure you have one of the following forms of ID: driver’s license, passport, DMV ID card, military ID card, or federal or state government issued ID. Our ability to provide same day service on site will be dependent on several factors:
- Availability of records
- Volume and age or records requested
- Requested format (Example: flash drive, paper, or CD)
- Additional approvals needed
For more information, please review information for the hospital applicable to you:
Once written authorization has been submitted, you may pick up your medical records in the Health Information Management Department in any Duke Health hospital during normal business hours: Monday – Friday 8:00 am to 4:30 pm. We are also available by phone at 919-384-7119 to answer any questions you may have on completing the release form or any general release of information questions.
Duke University Hospital
- Pick up address:
Duke Clinic
40 Duke Medicine Circle
Medical Records Department
Durham, NC 27710 - Located in the Yellow Zone of Duke Clinic, Basement Room 040. It is the centralized location for the release of information for Duke Health Enterprise/Duke University Health System.
- Hours: 8:00 am – 4:30 pm
- All subpoenas and court orders for any Duke Health Enterprise locations should be served at this Duke Clinic location.
Duke Regional Hospital
- Pick up address:
3643 N. Roxboro Street
Medical Records Department
Durham, NC 27704 - Located at the front entrance of the first floor to the left of the Patient and Visitor Information Desk
- Hours: 8:00 am – 4:30 pm
Duke Raleigh Hospital
- Pick up address:
Same Day Surgery Admissions
3400 Wake Forest Road
Raleigh, NC 27609 - Entrance is located on the side of the building
- Hours: 8:00 am – 4:30 pm