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Medical Request Form

Request Your FLETC Medical Records

To obtain a copy of your medical records, please fill out the Medical Records Request Form below. We are unable to provide your medical records without this form.

Please provide all of the required information, and then mail or email the properly completed Medical Request Form to the address shown below. NOTE: Please be sure to sign the request. Unsigned requests cannot be processed.

Medical record requests are processed on a first-come, first-served basis. The average processing time for medical record requests is four (4) weeks.

FLETC Contact Information

Mail To:

Medical Record Requests, Educational Aides
Federal Law Enforcement Training Centers
1131 Chapel Crossing Rd., Bldg. 681
Glynco, GA 31524

Please E-mail completed form to:
Call: (912) 267-2457
Fax: (912) 554-4434