Medical Records - Release of Information

To have a copy of your medical records sent to another medical facility or to obtain a copy for personal reasons*, please complete the following steps.

  1. Download the Emory - The Doctor's Office Healthcare Authorization for the Release of Protected Health Information Medical Records Department (pdf, 157kb) form. (click here to download)
  2. Fill out and sign the Medical Release authorization form.
  3. Fax or mail the completed and signed Medical Release authorization form to the Emory - The Doctor's Office facility you indicated on your form (see list here).
    *There is no charge for having your medical records sent to another medical facility. If you want to obtain copies for personal reasons, you will be charged a minimal fee per page.
  4. To have a copy of the Medical Release authorization form mailed to you, please contact your physician's office.


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