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Patients & Families

Release of Medical Records

Paper copies of medical records may be released upon receipt of written authorization of patients over the age of 18 or a legal guardian. Once authorization is received, it may take up to 10 days to process your request. Behavioral health records, by state law, require physician approval prior to release; please allow an additional 3-4 business days for these requests to be processed.

There might be a charge for medical records if being a request by a patient or patient representative.  If the records are needed for continued care,  there is no charge to the patient when records are sent directly to your physician or the facility providing treatment.

If records are needed for treatment or for an appointment within the next 48-72 hours, physicians can request records by fax when you arrive in his/her office for treatment. Records can be faxed to the physician’s office at no charge to the patient.

Records Request Forms and Contact Information

How to obtain copies of medical records:

  1. Email or Fax the completed request form to the facility’s Health Information Management (HIM) Department.

  2. Mail or bring the completed request form to the facility’s HIM Office

  3. Records will be mailed or emailed to the requested address with a bill for any applicable charges

Download the form you need below. To speak with someone about medical records, give one of our Health Information Management departments a call.

Location Phone Number Records Request Form
Florida Hospital Altamonte (407) 303-9175            Download Form
Florida Hospital Apopka (407) 303-9175             Download Form
Florida Hospital Carrollwood (813) 615-7200             Download Form
Florida Hospital Celebration Health (407) 303-9175             Download Form
Florida Hospital for Children (407) 303-9175            Download Form
Florida Hospital at Connerton Long Term Acute Care (813) 903 3733            Download Form
Florida Hospital DeLand (386) 943-4845            Download Form
Florida Hospital East Orlando (407) 303-9175            Download Form
Florida Hospital Fish Memorial (386) 917-5030            Download Form
Florida Hospital Flagler (386) 586-4340            Download Form
Florida Hospital Heartland Division (863) 402-3255           Download Form
Florida Hospital Kissimmee (407) 303-9175           Download Form
Florida Hospital Lake Mary (321) 363-0400           Download Form
Florida Hospital Lake Placid (863) 699-4173          Download Form
Florida Hospital Memorial Medical Center (386) 231-3066

         Download Form

Florida Hospital New Smyrna (386) 424-5000          Download Form
Florida Hospital North Pinellas (727) 942-5024          Download Form
Florida Hospital Oceanside (386) 231-3066         Download Form
Florida Hospital Orlando (407) 303-9175        Download Form
Florida Hospital Pepin Heart Institute (813) 615-7292        Download Form
Florida Hospital Tampa (813) 615-7292        Download Form
Florida Hospital Waterman (352) 253- 3327        Please Call
Florida Hospital Wauchula (863) 767-8377       Download Form

Florida Hospital Wesley Chapel

(813) 929-5047       Download Form

Florida Hospital Winter Garden

(407) 614-0500       Download Form
Winter Park Memorial Hospital (407) 303-9175      Download Form
Florida Hospital Zephyrhills (813) 788-0411      Download Form
         Download Form