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 is a charge to obtain copies of medical records. If requested for private use by patients or guardians, the charge is $0.84 for the first page, then $0.55 for each additional page, plus tax and postage. If the records are needed for continuing 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:
- Print and fill out the request form for the facility you need records from.
- Mail or bring in the completed request form to the facility’s Health Information Management office. Some facilities also allow faxing of forms.
- Records will be gathered and mailed 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 Placid||(863) 699-4173||Download Form|
|Florida Hospital Memorial Medical Center||(386) 231-3066||Download Form|
|Florida Hospital North Pinellas||(727) 942-5024||Please Call|
|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|
|Winter Park Memorial Hospital||(407) 303-9175||Download Form|
|Florida Hospital Zephyrhills||(813) 788-0411||Please Call|