Requests for medical records will be processed by HealthPort at a centralized processing center in Orange Park, Florida.
Please see below to request x-rays/diagnostic images.
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 for Release of Protected Information (PDF - 176 KB)
- Fee Acknowledgement (PDF - 562 KB)
Orange Park HSC
Attn: Release of Information
335 Crossing Blvd
Orange Park, FL 32073
Phone: (888) 616-5721
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.
Requests for release of x-rays/diagnostic images will be processed by the Film Library at West Florida Hospital. Please print a copy of the "Authorization for Release of Protected Information" (above) and send it to the address or fax number below:
West Florida Hospital
Attn: Radiology Department Film Library
8383 N. Davis Highway
Pensacola, FL 32514
Phone: (850) 494-5306
Fax: (850) 494-5295