(770)436-9700
















(770)436-9700
 

 
     
 

Because of the professional time involved in processing requests for medical records in addition to the copying charges we are required to collect a fee of $50 fee prior to beginning the process. Should your request require extensive time to complete that fee may increase.  Please click below to be taken to our secure payment site to pay the initial fee online prior to requesting your records.

Once you have completed this portion of the process you may go back and complete your request so that we may begin processing it.

Please note - we accept VISA and MasterCard for online payments (not American Express or Discover).  As PayPal processes our payments you may also make a payment using your PayPal account although you do not need a PayPal account to use this service.
 

 
  If the name of the patient is different from the name of the cardholder please make sure you provide it in this empty box --->
Patient Name