If you are interested in obtaining a copy of your medical record(s), please print and complete the authorization form (PDF - 41 KB) .
Upon completion, please fax, mail, or personally deliver your Authorization to the Health Information Management (HIM) Department at JFK Medical Center.
In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver's license, military I.D. or state I.D.), and a telephone number. Per Florida statute, there is a charge for providing the copies.
Please allow 5-7 business days for us to process your request.
JFK Medical Center
Health Information Management (HIM) Department
5301 South Congress Avenue
Atlantis, FL 33462
Tel: (561) 548-3400
Fax: (561) 548-3662
9 a.m. to 5 p.m. Monday through Friday