Where does a hospital have to record its lien for it to attach in Georgia?


The place of filing is a specific requirement, not a formality, and a lien recorded in the wrong office may not be effective. Under O.C.G.A. § 44-14-471, a hospital must file its verified lien statement in the office of the clerk of the superior court of the county where the facility is located, and also in the county where the patient resides if the patient lives in Georgia.

The correct clerk and county

The statute directs the filing to the superior court clerk, not to a different court or to a private registry. The county of the facility is the anchor point, because that is where the care was provided. When the injured person is a Georgia resident, the statute adds a second filing in the county of the patient’s residence. The purpose is to place the lien of record in the locations where interested parties would reasonably look for it, so a settlement is not paid out without accounting for the hospital’s claim.

Filing in the right place matters because the lien attaches and becomes enforceable only when the statutory steps, including the proper place of recording, are followed. A statement lodged in the wrong county or with the wrong office can leave the lien unperfected.

Practical effect of the filing location

Knowing where a lien must be recorded also tells an injured person where to check for one and how to test whether a hospital complied.

Key points:

  • The primary filing is with the superior court clerk in the county where the facility sits.
  • A second filing is required in the patient’s county of residence if the patient is a Georgia resident.
  • The clerk records the statement so the lien is of public record.
  • A misfiled statement can mean the lien never properly attached.

The bottom line

For a hospital lien to attach in Georgia, the verified statement must be recorded with the clerk of superior court in the county where the facility is located and, for a Georgia resident, in the county where the patient lives. Because the place of filing is a mandatory part of perfecting the lien, a statement recorded in the wrong office can fail to bind the recovery.


This article is for general educational and informational purposes only and is not legal advice. It does not create an attorney-client relationship, and Georgia law may change. For advice about a specific situation, consult a licensed Georgia personal injury attorney.

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