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Medical Records

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The Medical Records department is located on the 1st floor of the Central Orange County Health Department:

832 W. Central Blvd.,
PH:   407-836-2687

If you are a patient and need to request a copy of your medical records please fill out the authorization form below and bring or fax it with a copy of your I.D. to the Medical Records Department.
*If you are unable to pick up your records, you can send a representative with a notarized letter from you stating they have permission to request the records along with a copy of your picture I.D. and their picture I.D.

If you are an organization or government agency needing to request medical records for a client, please fill out and fax the form below.

Authorization to Disclose Confidential Information

Please note there is a 5 day waiting period for requests of medical records.  If the request is considered an emergency, please note when requesting your medical records.