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 Results or Other Department Requests

Please contact the Health Information Management (HIM) department by calling Call407-303-9175 or visiting the campus HIM office for any medical record needs.

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 Call407-303-9175 Download Form
AdventHealth Apopka Call407-303-9175 Download Form
AdventHealth Carrollwood Call813-615-7200 Download Form
AdventHealth Celebration Call407-303-9175 Download Form
AdventHealth for Children Call407-303-9175 Download Form
AdventHealth Deland Call386-943-4845 Download Form
AdventHealth East Orlando Call407-303-9175 Download Form
AdventHealth Fish Memorial Call386-917-5030 Download Form
AdventHealth Palm Coast Call386-586-4340 Download Form
AdventHealth Sebring Call863-402-3255 Download Form
AdventHealth Kissimmee Call407-303-9175 Download Form
AdventHealth Lake Placid Call863-699-4173 Download Form
AdventHealth Daytona Beach Call386-231-3066

Download Form

AdventHealth New Smyrna Beach Call386-424-5000 Download Form
AdventHealth North Pinellas Call727-942-5024 Download Form
AdventHealth Ocala Call352-402-5387 Please Call
AdventHealth Orlando Call407-303-9175 Download Form
AdventHealth Tampa Call813-615-7292 Download Form
AdventHealth Waterman Call352-253-3327 Please Call
AdventHealth Wauchula Call863-767-8377 Download Form

AdventHealth Wesley Chapel

Call813-929-5047 Download Form

AdventHealth Winter Garden

Call407-614-0500 Download Form
AdventHealth Winter Park Call407-303-9175 Download Form
AdventHealth Zephyrhills Call813-788-0411 Download Form