How can I obtain my medical records?
An authorization form is required when you are requesting copies of medical records. Please note that in some cases, a fee will be charged for medical record copies. The facility’s medical record department will be happy to provide you information about fees, expected turnaround times and other information related to your request.
We cannot fulfill medical records requests via email or an online form. Please note that if you desire copies from more than one facility, a separate request must be made to each facility as medical records are maintained separately by each site.
Phoebe Putney Memorial Hospital: Download and print the Authorization for Release of Health Information form below.
Request by patient for access to medical records from Phoebe Putney Memorial Hospital –
Request by patient for access to their protected health information (PHI) - Child under 18 Proxy Request Form
- Phoebe Patient Portal Adult Proxy
- Phoebe Patient Portal Adult Proxy with DPOA
In order to receive you medical records, we ask that you:
- Print and complete the above request form
- Bring the completed form to the medical records office at Phoebe Putney
- Bring a picture ID to the medical records office at Phoebe Putney
Mail completed release form to:
Phoebe Putney Memorial Hospital
Attn: Medical Records Dept.
417 Third Avenue (31701)
P.O. BOX 3770
Albany, GA 31706
Fax: 229-312-6005
Phone: 229-312-6000
E-mail: [email protected]
Phoebe Physicians: Download and print the Authorization for Release of Health Information form below.
Request by patient for access to medical records from Phoebe Physicians –
- Request by patient for access to their protected health information (PHI)
- Child under 18 Proxy Request Form
In order to receive you medical records, we ask that you:
- Print and complete the above request form
- Bring the completed form to the physician’s office
- Bring a picture ID to the physician’s office
Phoebe Sumter Medical Center: Download and print the Authorization for Release of Health Information form below.
Request by patient for access to medical records from Phoebe Sumter Medical Center –
- Request by patient for access to their protected health information (PHI)
- Child under 18 Proxy Request Form
Mail completed release form to:
Phoebe Sumter Medical Center
Attn: Medical Records
126 HWY 280 W.
Americus, GA 31719
Phone: 229-931-1397
Please note: Failure to complete all required elements may result in a delay in processing your request.