Request Your Medical Records

Additional Information to Know

• All requests for medical records must be fully completed and signed by the patient or patient’s representative.
• If the patient is under 18, a parent or legal guardian must sign the consent release.
• All legal guardians will be asked to provide documentation of legal guardianship.
• If a patient is deceased, the legally appointed executor of an estate or next of kin must consent to the release along with supporting documentation.
• After the properly executed authorization has been received, our team will review all required elements and processes by federal and state laws governing your privacy and medical records.
• Please allow 7 – 10 days for this process after receiving the request. In certain instances, it can take up to 30 days.
• For your convenience, we offer electronic delivery, or records can be mailed to the address listed on the authorization.
• Please see the request forms in the “How to access your medical records” section above.
• Strongly encourage you to use our request form to expedite the processing of the records.

Cost for Paper and Electronic Copies of your Medical Record

• Record requested and delivered through the MyChart Patient Portal – No Charge
• Records are sent directly to another healthcare provider – No Charge
• Records delivered to the patient via email, mail, fax, or in-person – $6.50 plus tax
• Records are delivered to an insurance company, attorney, or third party. The applicable fee will be charged to the requester.

Records for Your Physician

If you have a provider/physician who is a Wellstar Health System affiliate or a provider/physician from outside of Wellstar, they may access your medical records from their office without you facilitating this request by creating an account using Wellstar Epic Care Link or by sending a fax request to us at 770-810-4193. Wellstar EPIC Care Link is a tool that provides real-time web access to patient information, so your provider can access clinical data and images with Wellstar to provide best-quality patient care.

However, if your provider’s office has requested that you contact us and request your medical records from Wellstar Health System, we can fax the documents to your physician's office at no charge to you once you complete a request form in detail, ensuring the following items are included:

• Patient Full Name/DOB
• Describe Clinical Documentation to be Sent (History & Physical, Operative Report, Abstract, etc.)
• Date Range of Clinical Documentation to be Sent
• Provider Name
• Provider Complete Address
• Provider Phone Number
• Provider Fax Number

Once completed, have it faxed to 770-810-4193 so a Wellstar representative can process that request.

We highly encourage you to have your providers to create or most already have an account with Wellstar EPIC Care Link to have real-time access to your records and images.

Your Rights and Access to Personal Health Information

Wellstar Health System recognizes the patient's right to access and obtain copies of their protected health information (PHI) per HIPAA laws (Code of Federal Regulation 164) and Georgia Statutes. There are other forms you may want to access regarding your health records.

• Patient Request for Correction/Amendment of Protected Health Information
• Health Information Exchange Opt-Out Form
• Patient Request Restrict PHI Use and Disclosure