MEDICAL RECORDS

PATIENT REQUEST

  • Charges are mandated by the State of Georgia in compliance with OCGA 31-33-3.

  • $50 includes your report for all visits, a copy of your images and all billing records.

  • Please download and return the following form with your original signature. 

  • Once we receive you payment, we will mail your requested records within 5 to 10 business days.

  • Additional fees will apply for expedited or overnight deliveries.

ATTORNEYS OR WORKER COMPENSATION REQUEST

  • Charges are mandated by the State of Georgia in compliance with OCGA 31-33-3.

  • Please notify us in writing via the location mentioned below.  We will contact you within 5 to 10 business days with the cost of your request.

  • Once we receive your payment, we will mail your requested records within 5 to 10 business days.

  • Additional fees will apply for expedited or overnight deliveries.

  • Please note the new rate for CD medical images will be $25.00

REFERRING OR TREATING DOCTOR REQUEST

Patient Medical Records request can be accessed for referring physician offices via the following areas:

  • Online via:

  • Mail or Fax the downloaded

  • If this is urgent, please call (678) 691-2756

Fax: (888) 802-8664
Email: medicalrecords@omidiagnostics.com
Mail: P.O. Box 800065, Roswell, GA 30075-0001
Phone: (678) 691-2756

NEW MEDICAL RECORDS CONTACT INFORMATION AS OF AUGUST 1 2017:

HIPPA Form 2017