Pediatric Neurology will / has closed effective 31 Oct 2013.Medical Records remain available via Reliable Medical Records Services [RMRS]
To obtain medical records send the following to PNNC at the address below:
Records Request Form. View/Download form
[Note: the $10 is a copy charge (supplies and labor). The 0.86 is for postage.There are no fees for Searching, Retrieving or sending the requested information]
*Unless you are a ‘covered entity’ and send proof of that – records will not be sent without the 3 items listed above.
*If your mail-to address is missing or illegible – the check will not be cashed – and no records will be sent.
*Medical records are only being sent via USPS (regular mail).
- No pick-up
- No Fax
- No email.
- Medical records are ONLY available via regular mail (USPS).
*If your payment is missing or does not clear – no records will be sent. You will also be asked to reimburse PNNC for the
bounced check charge before records are sent.
It is recommended that you complete the form legibly including phone numbers for any questions.Medical Records are normally sent as a .pdf file on a SD card or a CD or equivalent media.
Medical records may require a password: if needed the password is 1LastfirstThat is the number 1 followed by thepatient’s last name – first letter is a capital and all the others lowercase and then without any spaces the first name all lowercase.
Send the completed and signed form, with your LEGIBLE address, and $10.86 check to:
Medical RecordsPediatric Neurology of North Carolina, P.A.