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S form is NOT required for photos or videos of patients used for the purposes of treatment or diagnosis, where the photo and/or video becomes part of the patient s medical record and is not used for any other purpose. Photography/Videography Release: I authorize the University of North Carolina Health Care System ( UNC HCS ) to take photographs and/or videos, or to allow third parties to take photographs and/or videos, of for the following uses: patient nam.

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Contact support

Call 919-966-2281. During regular hours of operation, schedule an appointment or connect with a registered nurse to ask questions. After hours, the line connects with Health Link, a nurse advice system associated with UNC Health Care.

I need to share a complaint. In person. By phone at 984-974-5006. By mail to the Patient Relations Department, UNC Medical Center, 101 Manning Drive, Chapel Hill, NC, 27514. By email at patient.relations@unchealth.unc.edu.

For information about your medical record, please see this Medical Records page or call (984) 974-3226. If you would like to request a copy of information in a medical record, please FAX a completed authorization form to (984) 974-0474.

Patient Responsibilities Patients are responsible for providing correct and complete information about their health and past medical history. Patients are responsible for reporting changes in their general health condition, symptoms, or allergies to the responsible caregiver.

Access your UNCHealth email from any location, any time, by using https://mail.unch.unc.edu Opens in new tab and dual authentication.

A medical record number (MRN) is a unique identifier assigned to a patient in an electronic health record (EHR), practice management, or healthcare IT system. The MRN is used to keep track of medical history, diagnoses, treatments, and other important information related to patient care.

Sign in to My UNC Chart or the patient portal where you got care and request a copy of your medical records. Fill out an authorization form for medical records and drop it off at one of our locations in person. Fill out an authorization form for medical records and mail it to one of our locations.

Please contact us using any of the mechanisms below: Appointments: Call 919-966-2281, visit campushealthappointments.unc.edu or use the web portal at healthyheels.unc.edu. Symptoms, problems, or concerns: Call us at 919-966-2281. Feedback about Campus Health: Use our online Suggestion Box - we value your feedback!

(1) A patient has the right to respect, dignity, and comfort. (2) A patient has the right, upon request, to be given the name of his or her attending physician, the names of all other physicians participating in his or her care, and the names and functions of other health care persons having contact with the patient.

UNC Transfer Center Contact the Transfer Center toll-free at 1-800-806-1968.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232