Looking to obtain a copy of your medical records?

Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

  1. Print and complete the Medical Records Release Form.
  2. Complete, sign and date the form. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or state I.D.).
  3. Mail, fax or personally deliver your paperwork to the facility where you were treated.
  4. Please allow 5-10 days for processing from date of receipt of the completed authorization. Federal law permits up to 30 days.

Please note: Medical Records copied for reasons other than continuity of care are subject to a copy fee (O.C.G.A. 31-33-3).


Mail

ATTN: HIM/MEDICAL RECORDS
1900 Tebeau St
Waycross, GA 31501

Phone: (912) 287-2610

Fax: (912) 287-2648

Please allow 5-10 days for processing from date of receipt of the completed authorization. Federal law permits up to 30 days.



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Urgent Requests, Records for your Physician

For immediate continuity of care, your healthcare provider can request records.

The physician office must fax a request on their fax cover sheet to (912) 287-2648

indicating the name of the facility, patient’s name, date of birth, date of visit in the facility, type of records being requested, and place "STAT" at the top of their request. For assistance call (912) 287-2610.

Insurance, Attorney, Disability and Third Party Requests

Requests from insurance companies, attorneys, or Disability Determination Service can be mailed to the address below. We cannot accept faxes and email requests.

Mail request to:

ATTN: HIM/MEDICAL RECORDS
1900 Tebeau St
Waycross, GA 31501

Phone: (912) 287-2610