Request Medical Records

Request Medical Records

Walk-in hours: (address below)
Monday - Friday, 8:30am - 4:15pm
Office: 770-219-0500
Monday - Friday, 6:00 a.m. - 5:00 p.m.

Holiday hours may vary

How to Request Copies of Medical Records

Option #1: By Mail or Fax

Please print and complete the form below:

This form is in .PDF format and will require the Acrobat Reader plug-in to view.

Then mail, deliver in person, or fax the completed form:

Mailing Address
Northeast Georgia Medical Center
Release of Information
743 Spring Street NE
Gainesville, GA  30501

Physical Address
Northeast Georgia Medical Center
Release of Information
3137 Frontage Road
Oakwood, GA  30504

Fax:  770-219-6903

Please Note:

  • We will be unable to process incomplete forms
  • When mailing the form, please include a copy of your photo identification/driver’s license.
  • Please also ensure that you include your telephone number in the event we have any questions regarding your request.

Option #2: Access the NGHS Patient Portal via

Patients are able to access certain records using the HealtheConnection patient portal. Patients will need to create an account to access their records via the patient portal, which requires having a unique validation code. If you need help accessing the portal or do not have a validation code, contact the 24/7 HealtheConnection Help Desk by calling 770-219-7400.

Other Records

Children’s Records:  Before your child’s medical records can be released, the legal guardian must complete, date and sign a release of information authorization.  If the child is over the age of 18, he/she must request the information himself.

Mode of Release:  Medical records can be faxed only to a physician’s office, hospital, or clinic.  There is no charge for this service.  If you are requesting records be sent to yourself or any place other than those listed above, there are fees associated with production of records. 

You may make an appointment to pick up copies of the record from our office during normal business hours.  Records can only be picked up with proper photo identification.  Otherwise, records will be mailed.
Associated Fees:  Please see the Fee Schedule Acknowledgement form attached to the authorization above to see the most current fee requirements based on Georgia regulations..

Contact Information

If you have any questions, you may submit an online form or call Release of Information at 770-219-0500.

Contact Information
Have Questions? Call (770) 219-9000
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Copyright ©2017 Northeast Georgia Health System, Inc. | 743 Spring Street Gainesville, GA 30501 | (770) 219-9000