Signature Requirement: Before your child's medical records can be released, the legal guardian must complete, date and sign a release of information authorization. If the child is over the age of 18, he/she must request the information himself.
Please print the Authorization to Release Protected Health Information form (English | Spanish). This form is in a "PDF" format and will require the Acrobat Reader plugin to view. After printing and completing the form, please mail the form to the location below:
Children's at Scottish Rite
Medical Records Department
1001 Johnson Ferry Rd. NE
Atlanta, GA 30342
Requests for records from other Children's locations can be sent directly to the satellite or to the above address.
Mode of Release: Records cannot be faxed. You may make an appointment to pick up copies of the record from the appropriate hospital or satellite campus during normal business hours (8 a.m. - 4:30 p.m. for hospital records). Records can only be picked up with proper photo identification. Otherwise, records will be mailed.
Please read our FAQ first—you'll find many helpful answers there. If you still have questions, please call Children's at Scottish Rite 404-785-2431.