To protect patient privacy and confidentiality WellStar Spalding Regional Hospital requires a completed and signed written request and authorization for release of health information to be completed before records are released to anyone, including the patient.
Please follow the process below:
Download the form or pick one up at the Health Information Management office at the hospital.
Release of Information Authorization Form (PDF)
Complete, sign and date the Release of Information Authorization form.
During open hours, bring the completed authorization form to the hospital along with a picture ID for verification. We are open Monday - Friday, 8 AM - 4:30 PM.
Your request will take three to five business days to complete. All requests for medical record copies are subject to copy charges, taxes and postage. There is a minimum fee of $10 for all requests.
Charges for Obtaining Copies of Your Medical Records
There is no charge to request a copy of your most recent hospital visit to be sent to your physician for continued medical care.
Release of Information Services Provided by Scan STAT. Fees set by Georgia State Statue 31-33-3 (effective July 15, 2013.)
Administration Fee (does not apply to patients requesting copies)
Per-page fee: 1 - 20
Per-page fee: 21 - 100
Per-page fee: 101 and above
Notarization Fee (if applicable)
Upon the birth of a child, you will be given a birth certificate application to complete before you leave the hospital. This form is sent to the County government to be processed and recorded. A confirmation of the birth will be mailed directly to your home within three weeks. After this time, you will need to obtain the birth certificate from the county health department. This process usually takes four to six weeks.
For questions regarding birth certificates, please call:
Birth Certificate Helpline: 770-229-6940, Option #2