Authorization for Release of Medical Information
To authorize the release of your medical information please click “Download PDF” and carefully follow the instructions provided in the document.
To submit your completed authorization form please fax it to
678-981-6769 or email firstname.lastname@example.org
Obtain Medical Records
We now offer an online feature for patients to obtain their own medical records, have medical records sent to someone else, obtain medical records for a minor (parent/guardian), or for those acting as Power of Attorney on behalf of another patient.
To submit a request to obtain medical records please click the “Request Medical Records” button below.
*This feature is provided by Infinite Health Collaborative (i-Health)