COFFEE REGIONAL MEDICAL CENTER Medical Records 912.384.1900 911 FOR EMERGENCIES Home / Medical Records Requesting a Copy of Your Medical Records ***NOTICE: Health Information Services / Medical Records / Medical Records Release of Information has moved to an off-site location as of April 22, 2021. The new physical location is located at 1016 West Ward Street Ext. Douglas (across Hwy 32 from the hospital, next to the Georgia National Guard Armory facility.) Please see below for the mailing address. Health Information Services business hours: 8:00 am – 4:30 pm Closed for lunch 12:00 pm – 1:00 pm Download and print the Authorization Form for Release of Medical Records and Information. To request medical records, please complete the form below, making sure to include a daytime phone number and the patient’s signature, and mail, fax, or drop-off to: Authorization to disclose health information MAILING ADDRESS: Coffee Regional Medical Center Attn: Health Information Services – Release of Information 1101 Ocilla Road*** Douglas, GA 31533 Phone Number: 912-384-1900 and choose option # 3 Fax Number: 912-389-2105 Translate Selecteer een taal Nederlands Afrikaans Albanees Amharisch Arabisch Armeens Azerbeidzjaans Baskisch Bengaals Birmaans Bosnisch Bulgaars Catalaans Cebuano Chichewa Chinees (traditioneel) Chinees (vereenvoudigd) Corsicaans Deens Duits Esperanto Ests Fins Frans Fries Galicisch Georgisch Grieks Gujarati Haïtiaans Creools Hausa Hawaïaans Hebreeuws Hindi Hmong Hongaars Iers Igbo IJslands Indonesisch Italiaans Japans Javaans Jiddisch Kannada Kazachs Khmer Kinyarwanda Kirgizisch Koerdisch Koreaans Kroatisch Lao Latijn Lets Litouws Luxemburgs Macedonisch Malagasi Malayalam Maleis Maltees Maori Marathi Mongools Nepalees Noors Odia (Oriya) Oeigoers Oekraïens Oezbeeks Pashto Perzisch Pools Portugees Punjabi Roemeens Russisch Samoaans Schots Keltisch Servisch Sesotho Shona Sindhi Sinhala Slovaaks Sloveens Soendanees Somalisch Spaans Swahili Tadzjieks Tagalog Tamil Tataars Telugu Thai Tsjechisch Turkmeens Turks Urdu Vietnamees Wels Wit-Russisch Xhosa Yoruba Zoeloe Zweeds Mogelijk gemaakt door Translate Like Us on Facebook! Coffee Regional Medical Center 1101 Ocilla Road, Douglas, GA 31533 912-384-1900 FIND A PHYSICIAN PAY MY BILL ABOUT SERVICES PATIENTS & VISITORS WELLNESS CENTER FOUNDATION CAREERS CONTACT US NOTICE OF PRIVACY PRACTICES NOTICE OF NON-DISCRIMINATION PATIENT PORTAL CRMC PATIENT PORTAL CRHPP PATIENT PORTAL FOR EMPLOYEES ADP Workforce Now New Employee Orientation Benefits Credit Union Technical Assistance Employee Webmail Access FOR PHYSICIANS ADP Workforce Now Staff VPN Access Password Portal CRMC Forms Physician Access Tools Visit us on Facebook! © 2021 Coffee Regional Medical Center