Medical Records

Accessing your Medical Records and Personal Health Information

Records for your own Use

If you wish to obtain medical records for your own personal use we are happy to assist you in this process. There is a charge of 1.00/per page, sales tax and postage as applicable for medical records per Florida Statute (FS) 395.3025. Completion and acknowledgement of the following forms is required:

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 number 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 appt 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 requestor.

Radiology/Imaging Films/Ancillary Department Requests

Please contact the department directly that performed this service to facilitate your request.

Release of Information Questions: 407-772-8900