Request Medical Records

Our web-based tool offers our patients and their families an easy and secure way to request medical records online. There is no additional charge to use this online service, however, there may still be a cost associated with retrieving your medical records. 

Please note, Chrome, Safari and Firefox are the recommended browsers for this application.

Patients can access certain records using their MyChart account. Patients will need to create an account if they do not already have an active account, which requires a unique validation code. 

If you need help accessing MyChart or do not have a validation code, contact: 

MyChart Support Help Desk
Call 1-855 208-0122  -or-  770-219-1963
Monday through Friday 8:00 a.m. – 4:30 p.m.

Please print and complete the form below:

• Authorization to Release Protected Health Information (English)
• Authorization to Release Protected Health Information (Español)

This form is in .PDF format and will require the Acrobat Reader plug-in to view.

Then mail, deliver in person, or fax the completed form:

Fax:  770-219-6903

Please Note:

• We will be unable to process incomplete forms
• When mailing the form, please include a copy of your photo identification/driver’s license.
• Please also ensure that you include your telephone number in the event we have any questions regarding your request.

Medical records can be picked in-person up at our physical location at NGMC Gainesville.

Address:

NGMC Gainesville
Orange Tower, Ground Floor
743 Spring Street
Gainesville, GA 30501

Office Hours:

Monday – Friday, 8:30am – 4:15pm
Holiday hours may vary

Phone Number:

770-219-0500

1. Contact NGHS Medical Records at 770-219-0500 to request online access to your images. 
2. You’ll receive an email from Nuance PowerShare Network. Follow the prompts in the email to create your patient PowerShare account. 
3. Log in to your account any time on a laptop or computer. (This service is not accessible via mobile device.) 
4. Use the code provided to you by Medical Records to view your images. 

To request for an amendment to be made to your health information, please complete a Medical Record Change Request Form.

• Medical Record Change Request Form – English (PDF)
• Medical Record Change Request Form – Español(PDF)

Mail the completed form to:
Health Information Management,
743 Spring Street NE,
Gainesville, GA 30501

Before your child’s medical records can be released, the legal guardian must complete, date and sign a release of information authorization (see Option 3 above to download the form).  If the child is over the age of 18, he/she must request the information himself.

• Medical records can be faxed only to a physician’s office, hospital, or clinic.  There is no charge for this service.  If you are requesting records be sent to yourself or any place other than those listed above, there could be fees associated with production of records based on the delivery method. 
• You may make an appointment to pick up copies of the record from our office during normal business hours.  Records can only be picked up with proper photo identification.  Otherwise, records will be mailed.
• Associated Fees:  Please see the Fee Schedule Acknowledgement form attached to the authorization form (above) to see the most current fee requirements based on Georgia regulations.

Effective January 1, 2024, in compliance with the 21st Century Cures Act, Northeast Georgia Health System is able to perform EHI (electronic health information) exports upon request, and its use is dependent on the system that is receiving it. This data export is not formatted for human utilization. Please call discuss the best option for your medical records needs 770-219-0500.