Rehabilitation Hospital, Navicent Health Medical Records


How to Request Your Medical Records

To request a copy of your medical records for yourself or to send to your healthcare provider, complete a:

To request a copy of your medical records to be sent to an insurance company, attorney, school, or other organization, complete an:

There are a few options to get your request to us:

Mail

Rehabilitation Hospital NH HIM Department
Attn: Release of Information
3351 Northside Drive
Macon, Georgia 31210

Fax:
(478) 201-6542

Walk-in Locations

Rehabilitation Hospital NH HIM Department
3351 Northside Drive
Macon, Georgia 31210
Hours: Monday—Friday; 9:00 a.m. – 5:00 p.m.
(Closed on Major Holidays)

Questions?

Call us at (478) 201-6500

Other Information You May Need to Know

If you are requesting records for a patient who lacks legal capacity or is unable to sign, an authorized personal representative may sign this form. Written proof of authority should accompany the request in order to verify appropriate health information access for the following:

  • Affidavit next of kin
  • Court-appointed guardian or other legally appointed representative
  • Executor/administrator/attorney in fact
  • Power of Attorney/Advance Directive

Verification of identity is required. Fees may apply. Some requests are subject to prior approval by the physician or therapist to release your health information.

Requesting Other Types of Records

Billing Records

To request your billing records, please contact the:

Business Office
(478) 633-1130

Requesting A Correction or Addition (Amendment) to Your Medical Record

Please complete, date and sign the:

Mail to:

Rehabilitation Hospital NH HIM Department
Attn: PHI Amendment Review
3351 Northside Drive Macon, Georgia 31210

Please call (478) 201-6500 if you have questions or would like a form mailed to you.


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Terms of Use

I give permission for Navicent to use the information I supply on this form to fulfill my request for a physician appointment and to contact me for that purpose.
I certify that I am at least 18 years old and I acknowledge that I have read and accept these terms and agree to use this form to request a physician appointment.
Because we value your privacy, your personal information will not be used other than to schedule an appointment.