Medical Malpractice

Claims History and Insurance Verification

If you wish to have the Legal Affairs Office prepare a claims history and insurance verification letter for the time at which you were employed at the Medical College of Georgia, please complete the attached Authorization and Release form and fax to the attention of Laura Carpenter @ 706-721-8014. Please note the instructions on the form and that there is a $15 processing fee. Please remit payment by means of a check, payable to the “Medical College of Georgia,” and mail to: Medical College of Georgia, Cashiers Office, 2004 Kelly Administration Building, 1459 Laney Walker Boulevard, Augusta, Georgia 30912.

 

Claims History and Insurance Verification Authorization Form