In compliance with HIPAA regulations, Atlanta Colon and Rectal Surgery, PA requires a “Release of Medical Record Information” and/or a “Request to Copy and Inspect Records” in order to release a patient’s medical record.

Medical records are processed through each physician’s nurse. Administrative fees may be associated with some types of requests.

Typically, there are three types of requests:

Self

Step One: Print and completely fill out the “Request to Copy and Inspect Records” form.

Step Two: Fax or Mail the request to the appropriate Atlanta Colon and Rectal Surgery location.

Step Three: Allow 2-3 business days for your request to be processed.

Third Party (Health/Life Insurance Co, Disability Insurance, Employer, etc)

Step One: Print and completely fill out the “Release of Medical Record Information” form.

Step Two: Fax or Mail the request to the appropriate Atlanta Colon and Rectal Surgery location.

Step Three: Allow 2-3 business days for your request to be processed.

Medical Doctor and/or Facility for Treatment Purposes

Step One: No forms are necessary. You may call and/or fax this request. Provide the doctor’s name, phone number, fax number, and/ or mailing address to the appropriate physician’s office.

Step Two: Allow 2-3 business days for your request to be processed. If the request is urgent, please have your doctor’s office call the appropriate Atlanta Colon and Rectal Surgery location.