We understand the importance of providing our patients with quick, easy access to their medical records. If you wish to have them for your own use, we will be happy to assist you in this process. We have a nominal fee of $1.00 per page, plus sales tax and the cost of postage. All medical records are handled according to Florida Statute (FS) 395.3025.
In order to complete your request, we need the following forms filled out completely and submitted to our office.
Florida Hospital locations in the Orlando Area:
- Request for Access and Authorization for Use and/or Disclosure of Protected Health Information (PHI) form (PDF)
- Copy fee charges (PDF)
Florida Hospital locations in the Volusia and Flagler Area:
- Florida Hospital Memorial Medical Center - Visit Medical Records
All requests for medical records must be fully completed and dated on or after the date of discharge to be processed. After a properly executed authorization has been received, our team will review for all required elements and process in accordance with federal and state laws governing your privacy and medical records.
Your Rights and Access to Personal Health Information
Florida Hospital recognizes the patient’s right to access and obtain copies of their protected health information (PHI) in accordance to HIPAA laws, CFR 164 as well as Florida Statutes. Should you require any behavioral health records, FS 394.4615 requires physician approval prior to us releasing any medical records to you. Please allow an additional 3-4 business days for these requests to be processed.
Records for your Physician(s)
If your physician is a physician on staff at Florida Hospital he/she may access your medical records from his office without you facilitating this request. If the office has requested that you personally request the medical records from Florida Hospital then we can fax the records to his/her office at no charge to you if you complete the Request for Access and Authorization for Use and Disclosure of PHI in detail ensuring the following items are included:
- Physician Name
- Complete Address
- Phone and Fax Number
A form must be completed for each physician you need your records mailed or faxed. Please note that your records will be mailed unless you specify an appointment time and date.
Insurance Requests/Attorney Requests/Disability Requests
Requests should be sent from insurance companies, attorney or DDS and mailed to the address on our authorization. All charges for medical records will be billed to the requester.
Radiology/Imaging Films/Ancillary Department Requests
Please contact the department directly that performed this service to facilitate your request.
Release of Information Questions: (407) 303-9175