Medical Records

Rockdale Medical Center is an advocate for patient privacy.  If you wish to have your medical record released, please download the Release of Information Authorization and complete the form.  Please note there may be fees for copies of medical records and under most circumstances, the law allows up to 30 days for record requests to be processed, however records for treatment purposes can be immediately faxed to the patient's healthcare provider.

You can drop off your form by coming to the Medical Record Department located in the East Tower building Mon - Fri from 8am to 4pm (excluding holidays) or you may mail your form.   If the form is mailed, we will validate the request by matching your signature on the authorization form to your medical record already on file - if the signature doesn't match, we will notify you.

Download the form here   •   ¿Hablas español? Descargue el formulario aquí