If you are a patient who doesn't wish to use the application above, or a third-party requesting medical records, you can submit a signed request, subpoena, or affidavit using the following methods:
- Email: [email protected]
- Fax: 678-214-3064
OR
Download it here and follow the submission directions on the document.
To check on the status of a request, please contact Customer Service at 800-367-1500.
Note: All medical record requests are processed directly by Datavant/Ciox.