Health Insurance Portability and Accountability Act of 1996 (HIPAA) ensures that all medical records are private, and that an individual may access copies of their medical records upon completion of a written consent form, also known as the authorization of release of information form. This form is a legal document and is included in the individual’s clinical record. To submit your request, please visit the SBHS Medical Records Department, or you may ask any care representative at check-in, when you arrive for an appointment. Release of information forms may also be submit via FAX to SBHS Medical Records at 706-432-4798. All requests will be processed in the order in which they are received, and in a timely manner, but not more than thirty (30) days after receipt of the request (SBHS ref. policy RI 13.01 part IV). Receipt of requests may be mailed, faxed or picked-up (at a scheduled time).
Record requests are charged by the rates set forth by the State of Georgia Office of Planning and Budget pursuant to O.C.G.A. 31-33-3. The Medical Records Department staff will complete the invoice for medical records retrieval, certification and copying (SBHS 295), and send to the requestor by fax, UPS service or pick-up. Fees may be paid by check or money order, payable to Serenity BHS.
- 1 – 20 pages = $0.97 each page
- 21-100 pages = $0.83 each page
- 101+ pages = $0.66 each page