If you would like to request a copy of your health information, please complete the Authorization for Release, Use and Disclosure of Health Information form below.
Instructions for completing the Authorization for Release:
Once you have the completed the Authorization for Release, you can fax it along with your picture ID to (912) 871-2388 and put to the ATTENTION: Release of Information.
PLEASE NOTE: If your records are for anything other than your physician, there is a charge for your medical records. You can call Release of Information (912) 486-1760 for fees.