Request for Medical Records

You may obtain your medical records by following these simple steps:

1. Open and print the one page PDF form.  Click here if you need to install Acrobat.
2. Fill out the form.  All fields with an asterisk (*) must be filled out in order for your request to be honored.
3. Fax the form to 407-423-2789. 

Click here to download medical request form

If you have any questions or would like to request your records by phone, please contact our medical records department by phone at 407-849-6865.