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 Protected Information (PDF - 27.5 KB) »
- Fee Acknowledgement (PDF - 29 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.