For all requests, please ensure the patient’s name and date of birth are legible on the Medical Records Request Form. The patient’s signature is required. The request cannot be processed if we receive a request without the patient’s signature.
Who to Contact:
Patient (Requesting Party)
When Requesting Patient Records
If over 1 year, contact Medical Records Specialist (see below for contact info).
Is Payment Required?
If over 20 pages, yes.
Physician’s Office (Requesting Party)
When Requesting Transfer of Care
If over 1 year, contact Medical Records Specialist (see below for contact info).
Is Payment Required?
If faxing, no.
If over 20 pages, yes.
Attorney’s Office (Requesting Party)
When Requesting for Legal
Please contact Medical Records Specialist (see below for contact info)
Is Payment Required?
Yes
Workers’ Compensation Payer (Requesting Party)
When Requesting for Workers’ Compensation
Please contact Medical Records Specialist (see below for contact info)
Is Payment Required?
Yes
Disability Payer (Requesting Party)
When Requesting for Disability
Please contact Medical Records Specialist (see below for contact info)
Is Payment Required?
Yes
Risk Adjustment Payer (Requesting Party)
When Requesting for Risk Adjustment
Please contact Medical Records Specialist (see below for contact info)
Is Payment Required?
No
Payer (HEDIS) (Requesting Party)
When Requesting for HEDIS
Please contact HEDIS Specialist (see below for contact info)
Is Payment Required?
No
Contact Information:
Medical Records Specialist
Phone
770-995-7820
Fax
678-226-6205
Email
[email protected]
Address
Gwinnett Clinic / ATTN: Medical Records
475 Philip Blvd. Suite 100
Lawrenceville, GA 30046
HEDIS Specialist
Phone
770-418-0818
Fax
678-206-0156
Email
[email protected]
Address
Gwinnett Clinic / ATTN: HEDIS
10600 Medlock Bridge Rd.
Duluth, GA 30097
Patient Chart Location
If you are clinical staff from a hospital or doctor’s office, and have a Gwinnett Clinic patient in the office or scheduled within the next 24 hours, please call 770-765-1101. This number is for clinical staff for urgent care coordination only.
If this is a billing-related inquiry for records, please fax your written request with the appropriate signature to Patient Financial Services / Billing at 678-373-3942.
We will do our best to get records to you in a timely manner and in accordance with State Law.
