Request Dental Records

How to Request a Copy of Your Patient Dental Records

To obtain a copy or request that your health information (dental records) be sent to you, another health care facility/provider, insurance companies, attorneys, or another individual, etc., you must first submit a completed, signed and dated Patient Release of Dental Records Consent Form to us.

You may either fax or mail this form to us; our contact information is located on the top of our forms.

Dental Records Contact Information

Phone: 706-721-9447
Fax: 706-723-0231

Business Hours: Monday thru Friday: 8:00 am to 5:00 pm

You may mail or hand-deliver your authorization to:

Augusta University- Dental College of Georgia
Business Office, GC1001
1430 John Wesley Gilbert Dr.
Augusta, GA 30912

Please be aware that there will be a charge associated with copying your request; you should allow up to 3-5 days for processing. However, we make every effort to respond to your requests within a shorter turnaround time. To make special arrangements, you may wish to contact  us during regular business hours should  you have an urgent request. You may also choose to pick up your health information instead of having us mail it. If you are picking up your information, please be sure to bring photo identification with you.

Record Request Form

Business Hours:

Monday - Friday
8am - 5pm

If you prefer to pick up your information, please be sure to bring photo identification with you.

For urgent requests, please contact us during regular business hours to make special arrangements.