To improve service and streamline processing, University Cancer & Blood Center partners with Docfluent, a specialized healthcare support service, to assist with medical record requests and FMLA/disability form completion.
Whether you are requesting a copy of your medical records or submitting paperwork for FMLA, disability, work accomodations, or other medical certification needs, Docfluent helps facilitate the review and processing of these requests on behalf of our practice.
Please review the applicable instructions below for your specific request type:
- Medical Records Request — Information regarding authorization requirements, request submission, processing, and delivery options.
- FMLA/Disability Forms Processing — Information regarding required forms, fees, processing times, and status updates.
Following the instructions provided below will help avoid delays and ensure your request is processed as efficiently as possible.
Medical Records Requests
An Authorization for Disclosure of Protected Health Information form is required for all medical record requests unless otherwise permitted by applicable law.
Who May Sign an Authorization
The authorization form must be completed and signed by one of the following:
- The patient
- The parent of a minor patient
- A legal guardian or court-appointed representative (documentation of legal authority is required)
- An individual authorized to act on the patient’s behalf under a valid Healthcare Power of Attorney (documentation of authorization is required)
Request for Deceased Patients
Requests for medical records of a deceased patient must include documentation demonstrating legal authority to act on behalf of the patient or the patient’s estate, along with a copy of the patient’s death certificate. Additional documentation may be required before records can be released.
How to Submit a Medical Records Request
To request medical records:
- Authorization Form (REQUIRED)
Download and complete the Authorization for Disclosure of Protected Health Information - Submit Your Request
Return the completed authorization form using one of the following methods
In Person or By Mail
University Cancer & Blood Center
Attn: Medical Records
3320 Old Jefferson Road, Building 800
Athens, GA 30607
By Fax
(706) 353-2992
By Email
[email protected] - Questions or Status Updates
For questions regarding a medical records request or to check the status of a request, please contact:
Docfluent
[email protected]
(512) 298-1843
FMLA/Disability Forms Processing
Before You Submit Forms
To help us process your request quickly, please review the following:
- Intake & Authorization (REQUIRED)
- Complete the FMLA Disability Intake and Authorization form in full.
- This form is required for Docfluent to complete any paperowrk on your behalf.
- Forms may be submitted:
- In person at our office
- By email to [email protected]
- Keep copies
- Please make a copy of all forms before submitting them.
- Appointment Requirements
Some forms, including disability, FMLA, and work accommodation requests, may require:- A recent office visit (within the past year), or
- A scheduled appointment if additional review or evaluation is needed.
- Fees
- $25.00 flat fee for the first form.
- $15.00 for each additional form submitted at the same time.
- Payment is required before forms can be completed.
- You will receive an invoice and payment link by email.
- You may also contact Docfluent at [email protected] to arrange payment.
- Insurance does not cover form completion fees.
- Processing Time
- Please allow 3–5 business days after:
- Forms are submitted, and
- Payment is received.
- Additional processing time may be required depending on the nature of the request.
- Please allow 3–5 business days after:
- Status Updates
For questions regarding your forms or to check the status of a request, please contact:
Docfluent
