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Request Medical Records

Request Medical Records

Walk-in hours are Monday - Friday, 8:30am - 4:15pm
Telephone hours are Monday - Friday, 6:00 a.m. - 5:00 p.m.
Holiday hours may vary

How to Request Copies of Medical Records

1)  Please print and complete the two forms below:

These forms are in .PDF format and will require the Acrobat Reader plug-in to view.
 

2)  Mail, deliver in person, or fax the completed forms:

Mailing Address
Northeast Georgia Medical Center
Release of Information
743 Spring Street NE
Gainesville, Georgia 30501
Physical Address
Northeast Georgia Medical Center
Release of Information
687 Lanier Park Drive
Gainesville, GA  30501







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.

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 FeesPlease on the Fee Schedule Acknowledgement form above to see the most current fee requirements based on Georgia regulations.  If you have already received a copy of your records and have received an invoice, please click here to pay online.

Contact Information

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

 
Contact Information
 
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Have Questions? Call (770) 219-9000
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