All submissions will be responded to within 24 hours and in case of medical or mental health emergency please call the GA Crisis and Access line at 1-800-715-4225 or 911

Medical Records

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).

FEES

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