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 CIOX, our release of information provider. Per Georgia statute, there may be a charge for providing the copy.
Please allow 7 to 10 business days to process your request.
Contact Information for CIOXPO Box 922788
Norcross, GA 30010-2788
Phone: (877) 403-8825
Fax: (855) 616-3822
Office Hours: Mon - Fri: 8:30am - 5:00pm