Medical Records

For a copy of your medical records:

  1. Download and complete the Authorization for Release of Information located at the bottom of this page.
  2. Bring the completed form to the Medical Records Department located at 1400 S. Germantown Road, mail it to the same address, or fax it to (901) 759-3193.
  3. After your request has been received, our contracted vendor (BACTES/Sharecare) will process your request.

Mailing Address:
Campbell Clinic Medical Records Department
1400 South Germantown Road
Germantown, TN 38138

Department Hours: Monday – Friday from 8 a.m. – 4 p.m.

Phone – (901) 759-3100
Fax – (901) 759-3193
Email: Bactes5@campbellclinic.com

For FMLA/Disability forms:

All disability and FMLA forms will be addressed through a centralized Disability Support Office located in the Campbell Clinic – Germantown office.

The Disability Support Office requires patient authorization as well as a $25 payment before the forms will be processed.

Tips to help expedite the process:

  1. Download and complete the Authorization for Release of Information located at the bottom of this page.
  2. Bring the completed form to the Disability Support Department located at 1400 S. Germantown Road, fax it to (901) 435-5634, or email it to disabilitysupport@campbellclinic.com.
  3. The Disability Support Department requires payment prior to processing the forms.

 

Mailing Address:
Campbell Clinic Disability Support Department
1400 South Germantown Road
Germantown, TN 38138

Department Hours: Monday – Friday from 8 a.m. – 4 p.m.

Phone – (901) 759-5446
Fax – (901) 435-5634
disabilitysupport@campbellclinic.com