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Important Forms

Thank you for visiting our library of important forms.

We are continually adding documents to this library for the convenience of our patients and their families. If you do not see the form you need, please contact us at our Email Here.

Medical Records

To have your records released to another healthcare provider or other third party, please fill out the form provided at the link below and return it to the medical records department at Atlantic General Hospital. Completed forms can be sent to IMPORTANT NOTE: If you wish to include drug and alcohol records, mental health records and/or reproductive health records in your released medical record, the appropriate lines must be initialed on the form.

Medical Records Request Form
Autorización para divulgación de registros médicos

Atlantic General Health System (Physician Practices)

New Patient Forms