Effective September 3, 2012, West Florida Healthcare will work with HealthPort to provide centralized services for release of information. In order to expedite your request for Protected Health Information, please complete and return the following two forms to the address below:
- Authorization for Release of Protected Information (PDF - 835KB)
- Fee Acknowledgement (PDF -26KB)
Orange Park HSC
Attn: Release of Information
335 Crossing Blvd.
Orange Park, FL 32073
There will continue to be a 3-5 day waiting period to receive the information once it has been requested and received by the Orange Park HSC. Should you need to check status or obtain additional information, please call 1-888-616-5721.
For more information about this release of protected information from West Florida Healthcare, please reference our Notice of Privacy Practices.
Thank you for your cooperation.