Print and complete the Authorization for Disclosure of Protected Health Information (PHI) form and mail request along with a copy of a government issued ID to:
Grady Health System
Medical Records Department, Box 26219
80 Jesse Hill Jr. Drive SE
Atlanta, Georgia 30303
You may also choose to complete the consent form on-site in the Health Information Management Department at Grady during business hours Monday – Friday from 8a.m. – 5:30 p.m.