Our health information management department manages data and records generated from each patient's visit to Mountain Lakes Medical Center. The medical information is used to support patient care services, health system reimbursement, and other administrative activities. Our health information management department adheres to stringent standards set by the federal government to ensure that patient-specific information is kept strictly confidential.
To request a copy of your medical record, please call us, 706.782.0405, Monday through Friday between 8 a.m. and 4:30 p.m. OR mail or fax us a completed authorization.
We have a few guidelines for you to follow before we can release medical information. You can print off and complete the Authorization Form for Mountain Lakes Medical Center to Release Information (Hyperlink: Authorization for Mountain Lakes Medical Center Medical Records to Release Information form). You may also call our office to request the form to be picked up at the hospital lobby (main entrance), mailed or faxed. The form must be signed by the patient if 18 years of age or otherwise authorized or the patient's legally authorized representative. Identification and/or proof that you are the legally authorized representative is required.
The authorization can be mailed or faxed to:
Mountain Lakes Medical Center
Health Information Management
196 Ridgecrest Circle
Clayton, GA 30525
Fax: (706) 782-6897
A fee is charged for copies of medical records unless the records are sent by the medical record department to another physician for subsequent patient care. In most cases it will take five days to process a request.