Short Answer

In North Carolina, you authorize your law firm to collect your medical and EMS records by signing HIPAA-compliant releases that clearly identify you, name the firm as the recipient, describe the records, and include an expiration and your signature. Return the signed forms to your firm promptly; they will send them to each provider’s medical records department (and EMS agency) and pay any required copy fees. Some providers require their own release, and if records are still not produced once a lawsuit is filed, your attorney can subpoena them. Settlement discussions usually wait until these records and bills arrive.

Understanding the Problem

You want to know how to sign and return HIPAA releases so your North Carolina personal-injury law firm can request your medical and EMS records. You are the injured client, the action is signing valid authorizations and getting them back to your firm, and the trigger is your firm’s request during your insurance claim. One key fact: your claim cannot move forward toward settlement until providers send your complete records and bills.

Apply the Law

Under HIPAA and North Carolina practice, providers can disclose your protected health information to your attorney only with a valid written authorization or a proper subpoena/court order if litigation is filed. A valid authorization must meet specific content requirements, and the person who signs must have legal authority (you, or a legal representative when applicable). You don’t file anything with a court to use an authorization; you return the signed forms to your law firm, which submits them to each provider’s records department. If a provider refuses to honor a proper authorization during litigation, records can be compelled from nonparties with a subpoena under the North Carolina Rules of Civil Procedure.

Key Requirements

• Identify the patient: Full legal name and another identifier (date of birth or last four of SSN) to match provider records.
• Name who may receive records: Your law firm and any copy service it uses must be listed.
• Describe what to release: Specify “all medical records and billing related to the accident,” plus EMS/ambulance reports, imaging, and dates of service.
• Purpose of disclosure: State “insurance claim and legal representation for accident injuries.”
• Expiration and revocation: Include a clear expiration date/event and your right to revoke in writing (revocation doesn’t undo prior releases).
• Signature and authority: You sign and date; if a representative signs (parent, guardian, health care agent, or estate representative), note the relationship and attach proof of authority.
• Sensitive categories: Many providers require separate initials or boxes for mental health, substance-use, HIV/STD, or genetic testing records; complete these if needed.

What the Statutes Say

• HIPAA: 45 C.F.R. 164.508 (Authorizations) - Lists what a valid authorization must include and who may sign.
• N.C. Gen. Stat. § 90-411 (Copies of medical records) - Allows providers to charge reasonable copy fees for records.
• N.C. Gen. Stat. § 8-53 (Physician–patient communications) - Protects medical information but permits disclosure with patient consent or court process.
• N.C. R. Civ. P. 45 (Subpoenas) - Tool to obtain records from nonparties during litigation if an authorization is not honored.

Analysis

Apply the Rule to the Facts: Your firm asked for HIPAA releases so it can collect medical and EMS records and bills. If you sign, date, and return provider-specific authorizations that name the firm, describe the accident-related records, and include an expiration and purpose, providers may lawfully send records to your firm. With those in hand, your attorney can request the insurer’s status letter you need for the traffic citation and move your claim toward settlement. If any provider refuses once a lawsuit is filed, your attorney can use a Rule 45 subpoena.

Process & Timing

1. Who files: You. Where: Return signed authorizations to your law firm (secure portal, in person, or mail). What: A separate HIPAA authorization for each provider and EMS agency; complete any hospital- or EMS-specific form if requested. When: Return as soon as possible so requests can go out without delay.
2. Provider requests: Your firm sends the signed authorization to each provider’s medical records unit and pays any copy fees. Many providers take several weeks to process records; your firm will follow up and may cure technical defects (wrong dates, missing initials, or provider-specific forms).
3. If roadblocks arise: If a provider will not honor a valid authorization and litigation is filed, your attorney can issue a subpoena under Rule 45 to compel production. Once records and bills are complete, your firm sends them to the insurer, obtains any needed status letter, and begins settlement discussions.

Exceptions & Pitfalls

• Incomplete forms: Missing initials for sensitive categories (mental health, substance-use, HIV/STD, genetic testing) or no expiration commonly cause rejections.
• Wrong entity: Hospitals, physician groups, imaging centers, and EMS are separate custodians; you often need a distinct authorization for each.
• Provider-specific releases: Some systems reject “generic” law firm forms and require their own; sign those promptly when your firm sends them.
• Signature authority: If the patient is a minor, incapacitated, or deceased, the correct legal representative must sign and may need to attach guardianship, health care agent, or estate letters.
• Revocation/expiration: Revoking too early or setting a short expiration can stop a request midstream.
• Fees and delivery: North Carolina allows reasonable copy fees; authorize your firm to advance them and choose the format (PDF/electronic) to reduce delays.

Talk to a Personal Injury Attorney

If you're dealing with accident injuries and need help getting medical and EMS records to move your claim forward, our firm has experienced attorneys who can help you understand your options and timelines. Call us today.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.