Cobb & Douglas Public Health must assure the protection of individual health information required by the laws of the state of Georgia and the HIPAA Privacy Rule.
To Request Medical Records (including Immunization Records):
In Person: When requesting a copy of medical records in person, you may pay by credit card (Visa, MasterCard, or Discover), or cash. The Authorization For Release of Protected Health Information can be completed at the time of the request or printed out in advance.
Online: When requesting a copy of medical records online, please complete this form. We will call to collect any payment.
By Mail: When requesting medical information by mail, include a completed Authorization For Release of Protected Health Information and a copy of photo ID. We will call to collect any payment.
Mail request to:
Cobb County Board of Health
Attention: Medical Records Department
1650 County Services Parkway
Marietta, Georgia 30008
By Fax: Please print and complete an Authorization For Release of Protected Health Information and fax to: 770-794-4365. Records will only be returned via fax to other healthcare facilities.
Fees: Complete medical record: $15.00
Copy of individual page or form (example: Immunization record): $5.00 (each)
For additional information, please call the Medical Records office at 770-514-2360.