Lakeview Behavioral Health Hospital protects the privacy of every patient we serve. If you are a current or former patient, or if a patient has authorized you to receive their health information, you can request records from our hospital via fax or email.
How To Request Medical Records
- Download the form linked below.
- Complete all required fields, then sign and date each form.
- Submit your completed forms to our medical records department by fax or email using the information listed below.
Email: medical.records@lakeviewbehavioralhealth.com
Fax: (770) 446-7016
Forms that are missing information, signatures, or dates may delay the processing of your request.
Medical Records Authorization Form
Use this form to request copies of your medical records from Lakeview Behavioral Health Hospital:
Authorization To Disclose Healthcare Information
Instructions for how to complete this form, as well as additional information, can be found here:
Medical Records Authorization Instructions
If you have any questions, please feel free to email us at medical.records@lakeviewbehavioralhealth.com or call us directly at (678) 743-1968.
