Medical Record Request and Authorization

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 of Information Form

Patients who would like to obtain a copy of their medical records, or records on behalf of a family member, can submit an online Authorization for Release of Information through Norton MyChart.

Once your request is received, it will be processed within 14 business days.

If you have an active Norton MyChart account, your records will be delivered directly to that account whenever possible.

Don’t have a Norton MyChart account?

You can still submit your request using the online form available here.

Physician offices requesting records for a patient:

Please click here to submit your request.

All other requesters:

Please click here to access Norton Healthcare’s Requester Portal to submit your records request electronically and securely download the records once they are available.

If you would like to complete and mail a paper copy you can download one below.

Submit Documentation – Patient Request Completed Above

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.

If you are unable to complete your request online, you can submit a form via Norton MyChart, click on the Form below or call (502) 629-8766 and ask that a form be mailed to you. All records will be mailed or submitted to you via Norton MyChart.

Submit Documentation

If you are the patient’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.

Contact Us

Health Information Management associates can be reached between the hours of 8 a.m. and 5 p.m., Monday through Friday, at (502) 629-8766 or via email at [email protected]. Please allow up to two business days for e-mail response.

Health Information Management
N16 P.O. Box 35070
Louisville, KY 40232-5070

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