Navicent Health Medical Records
Online 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 for yourself or to send to your healthcare provider, complete a:
- Patient Request for Access Form (Z26187): English (PDF)| en Español (PDF)
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 to:
Atrium Health Navicent HIM Department
Attn: Release of Information
777 Hemlock Street
MSC# 148
Macon, Georgia 31201
Fax:
(478) 633-7818
E-mail:
Email a PDF of your authorization to medicalrecordsroimacon@atriumhealth.org.
Questions?
Call us at (478) 633-1067.
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
Pathology Slides
To request pathology slides, please contact the:
Pathology Department(478) 633-1329
Radiology Images or Imaging Films
To request your radiology images, please contact the:
Radiology Department(478) 633-1255
Requesting A Correction or Addition (Amendment) to Your Medical Record
Please complete, date and sign the:
Mail to:
Atrium Health Navicent HIM DepartmentAttn: 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
- Authorization for Release of Psychotherapy Notes Form (Z26188) (PDF)
- Authorization to Release Medical Information Form (Z26167) (PDF)
- Patient Request for Access Form (Z26187): English (PDF)| en Español (PDF)
- Request for an Accounting of Disclosures Form (Z26191) (PDF)
- Request for Restrictions on Use or Disclosure of Health Information Form (Z26190) (PDF)
- Request to Amend my Health Information Form (A0200) (PDF)
- Revocation of Authorization for Release of Health Information Form (Z26189) (PDF)
- Deceased Next of Kin Affidavit (PDF)
- Incompetent Next of Kin Affidavit (PDF)