Request medical records

Patients who need a copy of their Medical Record must complete the Authorization for Use or Disclosure of Protected Health Information form (linked below). Form must be completed in its entirety.

Hospitals: ARHS HIPAA Authorization for Watauga Medical Center and Cannon Memorial Hospital

Medical Offices: ARMA HIPPAA Authorization for Appalachian Regional Medical Associates

• Patients 18 years of age or older must sign for themselves – includes married partners.
• Emancipated minors must sign for themselves.
• A copy of the patient’s driver’s license or picture ID is preferred. Please include a copy of the photo ID with this form.

Appalachian Regional Healthcare System contracts with CiOX Health to handle the release of medical information. Please bring check, debit/credit card, or money order for payment. We do not accept cash payment.

Fees/charges will comply with all laws and regulations applicable to release of information.

Hours of Operation:

• Cannon, and Watauga: Monday – Friday 8:00 am – 4:15 pm
• Appalachian Regional Medical Associates (ARMA) releases should be completed through ARMA provider; hours are based on offices’ operating hours. Click here for a full list of offices.