Navicent Health Medical Records

You can access portions of your electronic medical record online with the Navicent Health Patient Portal. That includes things like your medical history, test results, medications and allergies.

How to Request Your Medical Records:

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:

Atrium Health Navicent HIM Department
Attn: Release of Information
777 Hemlock Street
MSC# 148
Macon, Georgia 31201

Questions?

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:

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:

Pathology Slides

To request pathology slides, please contact the:

Radiology Images or Imaging Films

To request your radiology images, please contact the:

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

Please complete, date and sign the:

Mail to:

Atrium Health Navicent HIM Department
Attn: PHI Amendment Review
777 Hemlock St. MSC# 148
Macon, Georgia 31201

Please call (478) 633-1201 if you have questions or would like a form mailed to you.

All Medical Records Forms

  1. Authorization for Release of Psychotherapy Notes Form (Z26188)(PDF)
  2. Authorization to Release Medical Information Form (Z26167)(PDF)
  3. Patient Request for Access Form (Z26187): English(PDF)| en Español(PDF)
  4. Request for an Accounting of Disclosures Form (Z26191)(PDF)
  5. Request for Restrictions on Use or Disclosure of Health Information Form (Z26190)(PDF)
  6. Request to Amend my Health Information Form (A0200)(PDF)
  7. Revocation of Authorization for Release of Health Information Form (Z26189)(PDF)
  8. Deceased Next of Kin Affidavit(PDF)
  9. Incompetent Next of Kin Affidavit(PDF)

777 Hemlock Street, Macon, GA 31201 478.633.1000

Atrium Health Navicent complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, gender identity, sexual orientation, pregnancy, or genetic information.

Atrium Health Navicent cumple con todas las leyes de derechos civiles federales vigentes y practica una política contra la discriminación por razones de raza, color de piel, religión, nacionalidad, edad, discapacidad, sexo, identidad de género, orientación sexual, embarazo o información genética.

Atrium Health Navicent는 관련 연방 공민권법을 준수하며 인종, 피부색, 종교, 출신 국가, 연령, 장애, 성별, 성 정체성, 성적 성향, 임신 상태 또는 유전 정보를 이유로 차별하지 않습니다.

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