Medical Records
Use the information below to contact Medical Records, request copies of medical records, review valid ID requirements, and learn more about patient rights and privacy resources.
Note: Some links open PDF documents or additional website pages in a new window.
Contact Information
Phone: 912-369-9454
Fax: 912-368-6038
Hours of Operation
Monday - Thursday: 8:00 am - 5:00 pm
Friday: 8:00 am - 2:00 pm
Closed Holidays
Frequently Asked Questions
How do I request a copy of my medical records?
Print and complete the Authorization for Release of Protected Health Information form. Provide a copy of your legible, valid photo ID. Expired ID cards will not be accepted.
Click Here to Open Authorization for Release of Protected Health Information
Click Here to Open Authorization Form Instructions
The authorization can be mailed along with a legible copy of your valid photo ID. Please list the clinic/practice you are requesting records from.
Liberty Regional Medical Center
Health Information Management
462 E.G. Miles Parkway
Hinesville, GA 31313
You may also complete the Authorization on-site in Medical Records during business hours.
What is a valid ID card?
Liberty Regional Medical Center requires a photo ID card to request medical records. A photo ID card can include:
- Government issued ID Card
- State issued Driver's License
- State issued Photo ID
- Military ID
- Dependent Military ID
- Passport
We will not accept an ID card if it is expired or illegible.
How do I obtain my imaging/x-ray film?
Contact Imaging Services at 912-369-9400 ext. 9432.
How do I obtain copies of medical records for those other than myself?
Minor Child: The parent or guardian must complete the Authorization. Legal guardians must provide proof of legal guardianship.
Patients who are 18 years or older: A durable power of attorney or other court-appointed document must be provided for anyone who is not the patient's documented Authorized Representative.
Deceased Patient: Information will be released to the executor or administrator for the decedent's estate if such person has been appointed.
If an executor has not been appointed, information may be released:
- By a decedent's surviving spouse;
- By a surviving child, if no surviving spouse exists; or
- By any parent, if no surviving child exists.
Can I view my medical records online?
Yes, you can view your medical records using the Patient Portal. You can also register in person at Patient Access or Medical Records. A valid photo ID is required.
Click Here to Access the Patient Portal
What information is available on the Patient Portal?
The following limited information is available on the portal:
- Patient Demographics
- Provider Organization
- Care Team
- Care Plan, including goals and instructions
- Chief Complaint and Reason for Visit
- Current Medication List
- Medication History
- Current Medication Allergy List
|
- Medication Allergy History
- Procedures performed during admission
- Problem List, current and past
- Results
- Vital signs at discharge
- Discharge Instructions for patients
- Referral/Transition of Care
- Smoking Status
|
If I want to review my medical record without requesting copies, can I do so?
Yes. Please contact Medical Records at 912-369-9454 to set up an appointment to view your medical records.
How long will it take to process my request?
In accordance with federal and state law, requests for medical records must be completed within 30 days. Medical Records is allowed a one-time extension of 30 days and will notify you of that extension. The record will be released once all documentation is complete.
Is there a fee for obtaining my medical records?
In accordance with OCGA 31-33-3, 45 CFR 164.524, and organizational policy, Liberty Regional Medical Center may charge a reasonable fee for paper or electronic copies of the requested medical record for personal use.
How do I get a copy of a Birth or Death Certificate?
Certified copies of Birth and Death Certificates are available through the Georgia Office of Vital Records in Atlanta, Georgia at 1-404-679-4702.
Privacy You Can Trust
