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Lake City Medical Center
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Medical Records

Request 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 listed below.

Authorization to Release Protected Information (PDF - 177 KB)

Fee Acknowledgement (PDF - 42 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 1-888-616-5721.