Request Medical Records

Patients may request records for all NGHS entities, including NGMC (all campuses), NGPG, THC, New Horizons, and Hospice of NGMC.

Hours of Operation
Walk-in hours: (address below)
Monday – Friday, 8:30am – 4:15pm
Office: 770-219-0500

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
Gainesville, 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: Download via MyChart

Starting on October 1st, 2017, patients will be able to access certain records using their MyChart account. Patients will need to create an account if they do not already have an active account, which requires a unique validation code. If you need help accessing MyChart or do not have a validation code, contact: MyChart Support HelpDesk:1-855 208-0122 or 770-219-1963(Monday through Friday 8:00 a.m. – 4:30 p.m.)

Other Records
  • Request Changes to your Medical Record
  • 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 form (above) to see the most current fee requirements based on Georgia regulations..