Practice Announcement

    Practice Announcement

    October 19, 2015

    Dear patient,

    We regret to inform you that Novant Health Perry Medders Medical Group is now closed.

    The decision to close Perry Medders Medical Group was not easy for Novant Health medical group. We are grateful that you decided to use our services. It has been our privilege to participate in your care and help you meet your health goals.

    In order to help you transition to a new provider, we will be glad to assist you in transferring your medical record. We encourage you to establish a relationship with one of the providers listed on the attached page or another provider of your choice.

    Your medical record will remain with Novant Health. If you decide to transfer your medical record, complete the authorization form available for download below and submit it using one of these options:

    • Mail a completed authorization form to:
      ATTN: Novant Health Medical Group Records Request
      P.O. Box 39348
      Charlotte, NC 28278
    • Fax a completed authorization form to: 704-316-9556

    To ensure your privacy, all requests for medical records must be in writing. No medical records copy fees will be applied to the requests for six months after the closure. After that date, medical records copy fees will apply per North Carolina law. For more information, call toll-free 1-844-763-9163 or visit novanthealth.org/franklin.

    If you have any questions, concerns or need assistance please feel free to contact us at 919-496-4250 before December 7, 2015. Thank you for choosing us for your healthcare needs.

    Sincerely,

    The physicians and staff at Novant Health Perry Medders Medical Group

     

    DOWNLOAD: Authorization To Disclose Health Or Billing Information Form