Requests for medical records will be processed by HealthPort, at a Centralized Processing Center in Orange Park, Florida.
If you are interested in obtaining a copy of your medical records, please print and complete the following two forms and send them to the address or fax number below:
- Authorization to Release of Protected Information (PDF - 182 KB)
- Fee Acknowledgement (PDF - 16.5 KB)
Orange Park HSC
Attn: Release of Information
335 Crossing Blvd.
Orange Park, FL 32073
Fax: (855) 668-0697
Please allow 5-7 business days for receipt of your medical records. Should you need to check the status of your request please call (888) 616-5721.