Types of Medical Records Requests

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Records for your Physician(s)

If your physician is on staff at an AdventHealth facility, he or she may access your medical records from their office without your permission. If not, your doctor’s office can be faxed records that you personally request at no charge to you. You must still submit the appropriate authorization form, making sure to include the physician’s name, mailing address, phone number, and fax number.

A form must be completed for each physician to whom you need your medical records mailed or faxed.

Insurance, Attorney, and Disability Requests

Records Requests should be sent from your insurance company, attorney, or Disability Determination Service (DDS) and mailed to the address on the authorization form. All charges for medical records will be billed to the requestor.

Radiology/Imaging Films or Other Department Requests

Please contact the department directly that performed this service by calling (407) 303-4111 to facilitate your request.

Birth and Death Certificates

Birth and Death certificates are not available from AdventHealth’s Health Information Management department. These records must be ordered from the Florida Bureau of Vital Statistics.

Release Forms and Contact Information 

Who to Contact 

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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 & 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. Medical 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
AdventHealth Altamonte Springs 407-303-9175            Download Form
AdventHealth Apopka 407-303-9175            Download Form
AdventHealth Carrollwood 813-615-7200            Download Form
AdventHealth Celebration 407-303-9175            Download Form
AdventHealth for Children 407-303-9175            Download Form
AdventHealth Deland 386-943-4845            Download Form
AdventHealth East Orlando 407-303-9175            Download Form
AdventHealth Fish Memorial 386-917-5030            Download Form
AdventHealth Palm Coast 386-586-4340            Download Form
AdventHealth Sebring 863-402-3255           Download Form
AdventHealth Kissimmee 407-303-9175           Download Form
AdventHealth Lake Placid 863-699-4173          Download Form
AdventHealth Daytona Beach 386-231-3066

         Download Form

AdventHealth New Smyrna Beach 386-424-5000          Download Form
AdventHealth North Pinellas 727-942-5024          Download Form
AdventHealth Ocala 352-402-5387           Please Call
AdventHealth Orlando 407-303-9175        Download Form
AdventHealth Tampa 813-615-7292        Download Form
AdventHealth Waterman 352-253- 3327        Please Call
AdventHealth Wauchula 863-767-8377       Download Form

AdventHealth Wesley Chapel

813-929-5047       Download Form

AdventHealth Winter Garden

407-614-0500      Download Form
AdventHealth Winter Park 407-303-9175      Download Form
AdventHealth Zephyrhills 813-788-0411      Download Form