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Obtaining a Medical Record

The Health Information Management department (HIM) maintains medical records as a suppot service of Northern Hospital of Surry County.

Copies of medical records may be picked up in HIM. You may call 719-7006 to make an appointment to pick up medical records. Please allow 72 hours advance notice and bring a picture ID.

 

Charges for copies are as follows for areas other than for continuation of care.   

Pages 1-25 are 75 cents per pages
Pages 26-50 are 50 cents per page
Pages 51+ are 25 cents per page. 

 

Operating Hours
Monday through Friday
9:00 a.m. - 4:30 p.m.

Phone: 336-719-7006
Fax: 336-719-7456
   

Forms:
Authorization for Release of Information 



Recent Inpatients and patients who have received Outpatient services such as Laboratory, Imaging (Radiology), and Emergency Services my request access to their online patient portal at My Northern Chart. For more information click here.