We appreciate the opportunity you’ve given our doctors to serve your healthcare needs. You have a choice when it comes to podiatric care and we are glad you have chosen Village Podiatry Centers for your foot and ankle needs. We also know that with your choice you’re saying that you trust our doctors to provide the highest level of service possible for yourself, your children, and your loved ones. We do not take that trust lightly. We work hard each and every day to ensure that you made the right decision.

Download Privacy Practices (HIPAA) Form

Download Non-Discrimination Form

Request Medical Records

To request a copy of your medical records to be sent to another healthcare facility or to obtain for personal reasons, please complete this Medical Records release form and send to the Medical Records Department:

Via Fax:

Via Email:

Via Regular Mail:
Village Podiatry Corporate Office
Attn: Medical Records
900 Circle 75 Pkwy
Ste. 900
Atlanta, GA 30339

* Please note, there is no charge for medical records to be sent to another healthcare facility. If records are being obtained for personal reasons, you will be charged a minimal fee per page. For digital X-rays a $10 fee will apply. The fees can be paid by check which must accompany the completed form via mail or you can pay via credit card by calling 770-771-6753.