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 your request 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