Obtaining Copies of Medical Records

How do I obtain a copy of my medical records?

Simply click on the icon below, print and complete the form, and return it to us via fax or mail at the address below. Be sure to include a daytime telephone number, in case we have questions. You must sign and date the request. This signature will be used for verification purposes.

Medical Records Request (Records needed for personal use)

Patient Authorization to Release Information

Medical Records Transfer Request (From Another Physician)

Medical Records Transfer Request (To Another Physician)

(Records needed for continued or follow-up medical care with another physician)

Mail or fax your request to

• Adult Primary Care Associates of Greater Gwinnett, LLC
  Attn: Medical Records
  575 Professional Dr.
  Ste 510
  Lawrenceville, GA, 30046
  770-513-7986

How Long Will It Take To Process My Request?

Most requests are processed within 14 business days upon receipt. We will do our best to accommodate requests that are needed sooner.

Will I Have To Pay For My Records?

Records needed for continued or follow-up medical care will be sent directly to the physician's office, free of charge. There is no charge for the first personal copy of your records, but charges apply for any subsequent request.