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To Request An Individual Patient’s Records for a Third Party

Patients and Third Parties, please complete the Authorization for Release of Information form (link below) to request a copy of records.

Completed Michael's House forms may be returned in person, fax, by mail or email to:
Miasha Patterson – HIM Specialist / Privacy Officer
[email protected]

Michael's House
ADMISSIONS: (760) 227-2999

Medical Records Office:
(760) 320-3439
(760) 459-6086

Medical Records Fax:
(615) 942-5942

Consent / Authorization to Use or Release Protected Health Information (PHI)

Download Form

About Us

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Ready to Begin Healing?

You’ll find Michael's House’s peaceful, secluded campus an ideal setting for reflection, growth, and lasting change. Start your journey to recovery in the Mountains of North Georgia — surrounded by compassionate care as you reconnect with yourself and the world around you.