If you need your child’s medical records for yourself or a physician, or you want to make restrictions on who can see them, you’re in the right place.
You can request a full copy of a medical record if you are a:
You may also authorize a physician or other individual or entity to have access to your child's medical record. Identify who you're authorizing to Receive Medical Records under the "Facility Receiving Medical Records" section of the form.
To submit your request, simply fill out, sign and send (via mail, email or fax) an Authorization to Release form. Requests are normally processed within 8-10 business days.
For personal copies of records to be sent to you via CD, fax or paper, a fee of $6.50 will apply.
We can upload a copy of your personal records via the Nemours app patient portal at no charge. Complete the Authorization to Access Form (PDF).
Please note, records from another facility contained within the requested records may be released.
You may create a login for the Nemours app, a secure, confidential and easy-to-use patient portal that gives patients and families 24-hour access to selected parts of their medical records. This free app helps patients and families easily manage and receive important health information. To get started or for more information go to Nemours.org/Nemours app, or call (844) 551-1351.
If you would like a physician or other individual or entity to have access to your child’s medical record, you must fill out, sign, and send (via mail, email or fax) an Authorization for Release Form (PDF). Identify who you’re authorizing under the “Disclose Medical Record To” section of the form.
You can revoke, or cancel, a prior authorization to access your child’s medical records by submitting your request in writing. Be sure to include the date of the release you want revoked, sign the letter, and send it (via mail, email or fax) to the location you received care.
Note: Nemours is not liable for prior releases made under the initial authorization.
You can restrict a person or entity from seeing certain parts of your child’s medical record, like test results, treatments, etc. To do so, you must fill out, sign, and send (via mail, email or fax) a Request for Restriction Form (PDF) to the location you received care. Once your provider reviews the information, we’ll contact you with the outcome of the request.
If you think there is an error on your medical record, fill out, sign, and send (via mail, email or fax) a Request for Amendment Form (PDF) to the location you received care. Once your provider reviews the information, we’ll contact you with the outcome of your request.
If you would like to send a copy of a medical record to Nemours, send via:
Fax (Preferred): (302) 295-0718
To send medical records to Nemours Children's Health Specialty Care by fax:
ORL: (407) 650-7124
PNS: (850) 473-4543
DE: (302) 295-0718
JAX: (904) 697-3927
To send medical records to Nemours Children's Health Primary Care by fax:
DE: (302) 298-8995
ORL/CHA: (321) 388-0111
The following information must be visible on all documents prior to sending:
A Release of Information representative from the Health Information Management Department will be available to assist you with your request for protected health information.
Submit Form Online
Email your completed form (for any location) to
Nemours has a number of service regions. Selecting your region will help us show you the right contact information and the most relevant content for you.