Understanding the Problem

If you were hurt in North Carolina and you are working with a personal injury lawyer after an accident, can your lawyer get your medical bills and records without your signature? In most cases, the key trigger is that your treatment records are private, so the law generally requires your written authorization before a provider will release them to your lawyer, even if you already have accident photos to share.

Apply the Law

North Carolina treats medical information as confidential. As a general rule, health care providers are not required to disclose what they learned while treating you, and confidential medical information in medical records is typically furnished only with the patient’s authorization (or through a court process). That is why personal injury firms commonly include a medical-records authorization in intake paperwork: it allows the firm to request records and itemized bills directly from hospitals, clinics, and other providers so the claim can be documented and evaluated.

Separate from confidentiality, North Carolina law also allows providers to charge for copying and producing records, and the authorization helps the provider confirm who is allowed to receive the records and where to send them.

Key Requirements

• Written permission: The form gives written consent for a provider to release your records and bills to your lawyer (or the lawyer’s records vendor).
• Correct patient identity: The authorization must match your identifying information so the provider releases the right chart.
• Defined scope: The form should describe what is being requested (often records and billing) and from which providers.
• Defined time period: Many authorizations limit the request to dates of service tied to the accident and related care.
• Recipient and delivery details: The form tells the provider where to send records (law office address/fax/secure portal) and who may receive them.
• Signature and date: Providers commonly reject unsigned, undated, or incomplete authorizations.

What the Statutes Say

• N.C. Gen. Stat. § 8-53 (Communications between health care provider and patient) - Treats medical communications as confidential and states that confidential medical information in medical records is furnished only on the patient’s authorization (or through a court/Industrial Commission process).
• N.C. Gen. Stat. § 90-411 (Record copy fee) - Allows health care providers to charge a regulated fee for searching, copying, and mailing medical records to the patient or the patient’s designated representative.
• N.C. Gen. Stat. § 131E-97 (Confidentiality of patient information) - States that medical records maintained by health care facilities are not public records.

Analysis

Apply the Rule to the Facts: Because you are working with a law firm after an accident, the firm needs medical records and bills to document your injuries and treatment. Even though you can share accident photos yourself, your health care providers generally will not send your records to the firm without your written authorization. Signing the release form gives the firm permission to request the records and billing once your treatment is complete, so the claim can be supported with medical proof.

Process & Timing

1. Who files: Your lawyer (or a records service working for the lawyer). Where: With each hospital, clinic, imaging center, therapist, or other provider that treated you in North Carolina. What: The provider’s records request process plus your signed medical-records authorization. When: Often after you have reached a stable point in treatment, but sometimes earlier to confirm diagnosis and track ongoing care.
2. Provider response: The provider verifies the authorization and then produces records and billing. Timeframes vary by provider and can take longer if the request is broad or the chart is large.
3. Use in the claim: Your lawyer reviews the records for accuracy, connects the treatment to the accident, and uses the bills/records to support a settlement demand or (if needed) a lawsuit.

Exceptions & Pitfalls

• Overbroad releases: Some forms are written very broadly. If you are uncomfortable authorizing “any and all” records for many years, ask your lawyer whether the scope can be limited to accident-related care and reasonable look-back periods.
• Incomplete provider list: If you forget a provider (urgent care, imaging, physical therapy), the claim can look “light” on documentation. Tell your lawyer about every place you treated.
• Mismatched names/dates: A wrong date of birth, old address, or missing signature can cause delays because providers often reject the request.
• Records vs. bills: Itemized billing and clinical records are often stored separately. Make sure the request covers both if your goal is to document medical expenses and treatment.
• Privacy expectations: Once you make an injury claim, the other side may seek medical information through the legal process. A careful, limited authorization can help your lawyer gather what is needed without opening the door wider than necessary.

Conclusion

A medical-records release form is your written permission for your lawyer to request your confidential medical records and bills from your providers. In North Carolina, medical information is generally furnished only with the patient’s authorization (or through a court process), and providers may charge regulated copying fees. The practical next step is to review the authorization’s scope and then sign and return it promptly so your lawyer can request the records and bills needed to support your personal injury claim.