If you are interested in obtaining a copy of your medical record (s), please print and complete the
Authorization For Release of Protected Health Information.
Upon completion, please fax or mail the form to HealthPort, our release of information provider. Per Georgia statute, there may be a charge for providing the copy.
Please allow 3 to 5 business days to process your request.
Contact Information for HealthPort:
PO Box 922788, Norcross, GA 30010-2788
Office hours: 8:00 am to 5:00 pm | Monday through Friday