Medical records

Viewing records on the Patient Portal

Established patients have the option to view their personal health record through their secure Patient Portal. For more information regarding the Patient Portal or to obtain log-in information, please click here.

Requesting your Newnan Dermatology records

In order to request a copy of your medical records please complete the following steps. Records will be released according to the delivery method notated on the form. If you prefer to pick up your records in person, please call our central records pickup line at 770-520-8561 in advance to eliminate a long wait time.

• Print and complete the Authorization for Release and Disclosure of PHI Form
  • The authorization form must be dated and signed.
  • Please specify what components of your medical records you wish to release.
  • If you are requesting your own records (or records for someone you are the personal representative of), federal law (HIPAA) limits the charge to a reasonable, cost-based fee for copying and postage only — there is no search or retrieval fee, and electronic copies sent to you or your portal are often free.
  • If records are being released to a third party (such as an attorney or insurer with your authorization), charges follow Georgia Code §31-33-3:
    • A charge of up to $25.88 may be collected for search, retrieval, and other direct administrative costs
    • A fee for certifying the medical records may also be charged not to exceed $9.70 for each record certified
    • The actual cost of postage incurred in mailing the requested records may also be charged
    • Copying costs for a record which is in paper form shall not exceed
      • $0.97 per page for the first 20 pages of the patient's records which are copied
      • $0.83 per page for pages 21 through 100
      • $0.66 for each page copied in excess of 100 pages
• Return the completed form to the office either via:
  • Fax to 770-727-8678 (medical records fax)
  • Mail to 354 Newnan Crossing Bypass, Suite 205, Newnan, GA 30265 (Attn: Medical Records Department)
  • Send electronically: upload through the Patient Portal (preferred — encrypted), or email us (standard email is not encrypted; avoid sending sensitive details).

Requesting outside records to be sent to Newnan Dermatology

If you are a new patient establishing care at Newnan Dermatology and will need your medical records transferred from another doctor, please complete the Authorization for Release and Disclosure of PHI to Newnan Dermatology Form.

Granting access to your medical record

If you would like to grant access to your Newnan Dermatology medical record to your spouse or any other individual(s) for purposes other than treatment, payment, or healthcare operations, please complete the Authorization for Release and Disclosure of PHI to Spouse or Other Individual Form.