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Records Request



To request your medical records, please complete theĀ AUTHORIZATION TO DISCLOSE PROTECTED HEALTH INFORMATION form requesting your medical records.

The release must be completed and signed by you, client, parent/guardian, conservator, or other legal representative of the individual whose records are being requested. If you are a legal representative, the legal document appointing you must also be presented with your request, unless it is on file with our practice.

Medical records requests can be requested by email, postal service mail, or fax by sending the completed release and a copy of your photo identification, unless we already have it on file, to:

Healing Psychotherapy Practices of Georgia, LLC
Attn: Medical Records
1301 Shiloh Road, suite 710
Kennesaw, GA 30144
Fax: 888-394-1986

Requests are processed in the order received and within 7-10 business days.

If you have questions regarding how to complete the release, please call our office at 770-792-0079.