Requesting a Copy of Your Medical Records

 

***NOTICE: Health Information Services / Medical Records / Medical Records Release of Information has moved to an off-site location as of April 22, 2021.

The new physical location is located at 1016 West Ward Street Ext. Douglas (across Hwy 32 from the hospital, next to the Georgia National Guard Armory facility.)

Please see below for the mailing address.

 

Health Information Services business hours:

8:00 am – 4:30 pm

Closed for lunch 12:00 pm – 1:00 pm

 

Download and print the Authorization Form for Release of Medical Records and Information.

To request medical records, please complete the form below, making sure to include a daytime phone number and the patient’s signature, and mail, fax, or drop-off to:

Authorization to disclose health information

 

MAILING ADDRESS:

Coffee Regional Medical Center

Attn: Health Information Services – Release of Information

1101 Ocilla Road***

Douglas, GA 31533

 

Phone Number:  912-384-1900 and choose option # 3

Fax Number:  912-389-2105