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Visit my medical records to view and print your or your family members’ most commonly requested medical records and reports, including the following:
On this page:
Health Summary
A PDF summary of your online health records, including allergies, immunizations, ongoing health conditions, medications, test results, and some procedures. Additionally, it includes changing your physician or switching to another health plan. Download your health summary.
You can specify the date range, which medical records, and the party receiving the copy of your medical records. Allow 10 business days for the completion of your request. Note that Medical Office records released as part of this request may contain references related to mental health, addiction, and HIV conditions. Order an electronic copy of your detailed medical records.
- Personal request for medical records
- Medical records for continuity of care
- Radiology records
- Mammography records
- Complete and submit the Kaiser Permanente forms below:
- Note: Intent to pay form is not required on medical record requests for continuity of care.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.
Disability certification
We can assist your physician in completing your Disability certification forms.
Before we can do this, you will need to:
- Discuss your disability and needs with your doctor.
- Get a doctor’s note (work status report) for the time you will be off work.
- Complete the Authorization to use and disclose protected health information (PDF). In the section “Specify Records to be Released”, select “Other Records” and specify Disability.
- Complete the Release of information questionnaire: FMLA, short term/long term disability or obstetrical (OB) treatment form (PDF).
- Complete the employee sections of your disability paperwork.
- Submit the completed Kaiser Permanente forms & your Disability paperwork.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.
Family Medical Leave Act (FMLA) medical certification
If medically appropriate, a medical certification can be submitted to an employer to determine FMLA eligibility.
Complete and submit this request to your doctor to certify your serious health condition(s). Your doctor will review your information to determine the appropriate timeframe requested for certification and may contact you for further information. Request FMLA medical certification
Alternatively, you can also:
- Complete the Authorization to use and disclose protected health information (PDF). In the section “Specify Records to be Released”, select “Other Records” and specify FMLA.
- Complete the Release of information questionnaire: FMLA, short term/long term disability or obstetrical (OB) treatment form (PDF).
- Complete the employee sections of your FMLA paperwork.
- Submit the completed Kaiser Permanente forms & your FMLA paperwork.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.
Immunization record
Request Family Medical Leave Act physician certification of a serious chronic health condition. Your record of immunization can be used for school, camp, or other needs.
Forms and publications
View, download, and print commonly used forms, handbooks, and other publications.
My Requests
Track your requests for Medical Records, Family and Medical
Leave Act (FMLA) Medical Certification requests
Third-party requests
We can assist you with form completion or certifications that need to be sent to a third party (such as an employer, school, or social service).
Before we can do this, you will need to:
- Complete the Authorization to use and disclose protected health information (PDF).
- Intent to pay charges related to authorization form (PDF).
Note: Intent to pay form is not required on form completion requests.
- Complete any required section(s) of the form prior to submission.
Some requests are subject to a fee. We will call and notify you of the cost, as payment is required before records are released.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.
Insurance
We can assist you with form completion or records for insurance purposes (such as coverage applications, military records, and more).
Before we can do this, you will need to:
- Complete the Authorization to Use and Disclose Protected Health Information (PDF).
- Complete the Intent to pay charges related to authorization form (PDF).
- If a form is included, complete any required section(s) prior to submission.
Some requests are subject to a fee. We will call and notify you of the cost, as payment is required before records are released.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.
Other forms
We can assist you with forms for many needs, including assisted living, paid family leave, employment, and more.
Before we can do this, you will need to:
- Complete the Authorization to use and disclose protected health information (PDF).
- Complete any required section(s) of the form or certification prior to submission.
Some requests are subject to a fee. We will call and notify you of the cost, as payment is required before records are released.
When you have completed the steps above, email all paperwork to release-of-information@kp.org, fax all paperwork to (770) 220-3705 or mail to Kaiser Permanente Georgia, Medical Records Administration, 3200 Breckinridge Blvd, Duluth, Georgia 30096. It may take up to 10 business days to process your request.
To check the status of your request, contact Medical Records Administration at (770) 220-3870.