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Medical Records-Release of Information

All patient information at SSC is confidential and protected by State and Federal laws and HIPAA regulations.

SSC requires a completed, signed, and dated Authorization for Release of Health Information form before releasing any documents. If you choose to pick up your medical records at SSC, please bring your photo identification with you. There is a fee for providing copies of medical records.

Please click below for a printable version of the Authorization for Release of Health information form.

DOWNLOAD AUTHORIZATION PDF HERE

 

Fax or mail the completed, signed, and dated form to the address or fax number below.

Surgical Specialty Center of Baton Rouge
ATTN: Hospital Medical Records Department
8080 Bluebonnet Blvd
Baton Rouge, LA 70810

Fax: 225-408-5516