MEDICAL RECORDS - Cobb & Douglas Public Health

 

MEDICAL RECORD REQUESTS

Cobb and Douglas Public Health must assure protection of individual health information required by the laws of the state of Georgia and the HIPAA Privacy Rule.

To Request Medical Records:

In Person: When requesting a copy of medical records in person, you may pay by credit card (Visa, MasterCard, or Discover), or cash.  The Authorization for Disclosure of Health Information Form can be completed at the time of the request or printed out in advance.

By Mail:  When requesting medical information by mail, include a completed Authorization for Disclosure of Health Information Form , copy of photo ID and money order made payable to Cobb County Board of Health. Mail request to:

Cobb County Board of Health
Attention: Medical Records Department
1650 County Services Parkway
Marietta, Georgia 30008

By Fax: Please print and complete an Authorization for Disclosure of Health Information Form  and fax to: 770-794-4365. Records will only be returned via fax to other healthcare facilities.

Fees: Complete medical record: $15.00

Copy of individual page or form (example: Immunization record): $2.00 (each)

FAQ’s

Who can request Medical Records?

  • Any adult 18 years of age or older can request their records.
  • Minor if legally emancipated (i.e. married or has been married).
  • Any parent with legal custody, whether an adult or minor for his/her minor child.   
  • A legally appointed guardian.  

How long will it take to obtain medical records?

  • When requesting records in person, please allow up to 48 hours from the time of request to record pick-up.
  • When requesting records by fax, please allow up to 48 hours from the time of request to record receipt.
  • When requesting records by mail, please allow up to 2 weeks.

 Can I have records sent to another healthcare provider/facility?

  • Records can be sent directly to a healthcare provider/facility at no cost.

For additional information, please call the CDPH Privacy Officer at 770-514-2349.

Forms:

Authorization to Release Information (DPH)

Specific Public Health services and schedules may vary by location. Call your health center for details.

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Cobb County

Building A
1650 County Services Parkway
Marietta, Georgia 30008
(770) 514-2300
Center Hours & Services
Map & Directions

Building B
1738 County Services Parkway
Marietta, Georgia 30008
(770) 514-2300
Center Hours & Services
Map & Directions

Douglas County

6770 Selman Drive
Douglasville, Georgia 30134
(770) 949-1970
Center Hours & Services
Map & Directions

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Cobb Locations

Acworth
4489 Acworth Industrial Drive
Acworth, Georgia 30101
(770) 974-3330
Center Hours & Services
Map & Directions

Cobb County Environmental Health
1738 County Services Parkway
Marietta, Georgia 30008
(770) 435-7815
Monday-Friday, 8:00 a.m. – 5:00 p.m.
Except on holidays
Map & Directions

Marietta – Building A
1650 County Services Parkway
Marietta, Georgia 30008
(770) 514-2300
Center Hours & Service
Map & Directions

Marietta – Building B
1738 County Services Parkway
Marietta, Georgia 30008
(770) 514-2300
Center Hours & Services
Map & Directions

Smyrna (WIC)
3830 South Cobb Drive, Suite 200
Smyrna, Georgia 30080
(770) 438-5105
Center Hours & Services
Map & Directions

East Cobb
4958 Lower Roswell Road, Suite 120
Marietta, Georgia 30068
(678) 784-2180
Center Hours & Services
Map and Directions

South Cobb (WIC)
875 Six Flags Drive
Austell, Georgia 30168
770-514-2389
Center Hours & Services
Map and Directions

Adolescent Health & Youth Development/Health Promotion
875 Six Flags Drive
Austell, Georgia 30168
(678) 385-1360
Center Hours & Services
Map and Directions

Douglas Locations

Douglas
6770 Selman Drive
Douglasville, Georgia 30134
(770) 949-1970
Center Hours & Services
Map and Directions

Douglas County Environmental Health/Douglas Underage Drinking Prevention Program
8700 Hospital Drive, 1st Floor
Douglasville, Georgia 30134
(770) 920-7311
Monday-Friday, 8:00 a.m. – 5:00 p.m.
Except on holidays
Map and Directions

 
 
All Cobb & Douglas Public Health Centers will be closed on Monday, May 29 in observance of Memorial Day and will re-open on Tuesday, May 30. For questions, please call: 770-514-2300.
NOTICE