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 - 64 KB)
Fee Acknowledgement (PDF - 42 KB)
Orange Park HSC
Attn: Release of Information
335 Crossing Blvd.
Orange Park, FL 32073
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.