Sarasota Memorial Hospital - Sarasota Doctors
         


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GUIDE TO YOUR HOSPITAL VISIT
   » Health Insurances Accepted
   » Maps and Directions
   » Pre-registration
   » Patient Care Services
   » Visiting Hours

OUTPATIENT CARE CENTERS
   » Bayside Center for Behavioral Health
   » Blackburn Point
   » Healthplex Fitness Center
   » Heritage Harbour
   » Institute for Advanced Medicine
   » University Parkway
   » Walk-In Medical Centers
   » Ambulatory Locations

SPECIALIZED SERVICES
   » Institute for Advanced Medicine
   » Institute for Cancer Care
   » Heart & Vascular Institute
   » Neuroscience Center of Excellence
   » Home Care
   » Nursing & Rehabilitation Center
   » Comprehensive Bariatric Program

COMMUNITY HEALTH Calendar
   » Calendar of Events
   » Support Groups
   » Speakers Bureau
   » Board Meeting Schedule

SARASOTA MEMORIAL HEALTHCARE FOUNDATION

   » About the Foundation
   » Ways You Can Help
   » Vim & Vigor Healthcare Magazine

HEALTHLINE - Find A Physician
   » Find A Physician
   » Physician Referral
   » Service Referral
   » Bishopric Medical Library
   » Health Information and Education

ADVANCES IN HEALTHCARE
   » Da Vinci Robotic Surgery
   » Deep Brain Stimulation (coming soon)
   » Induced Hypothermia
   » Hyperbaric Chamber
   » Robo Medica (coming soon)
   » Minimally Invasive Heart Surgery
   » Clinical Trials and Research

COMMUNITY OUTREACH
   » Speakers Bureau
   » Community Partnerships
   » Corporate Volunteer Program
   » Employee Assistance Program
   » Sarasota Memorial Healthcare Foundation
   » Charter Plan Small Business Insurance

HEALTH E-CLICKS NEWSLETTER

   » Health e-clicks Newsletter Archive
   » Subscribe Here

   » More News

 
 
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Health Information Management
Your Medical Records


Release of Information
A patient or his/her legal representative may inspect and/or obtain a copy, or have copies of medical records sent to another facility.

Sarasota Memorial Healthcare System requires a completed and signed written request and authorization for release of health information form before releasing any documents to anyone, including the patient.

Requesting Your Medical Records
You may request your medical records by printing and filling out an authorization form allowing us to release your private health information.

  • The form must be completed, dated and signed.
  • We ask that you specify what components of your medical records you wish to obtain. Often, the discharge summary, operative report and history and physical contain relevant information to suit your needs.
  • Requests must be specifically initialed if requesting/authorizing the following information:
    • Psychiatric Care
    • AIDS/HIV
    • Alcohol/Drug abuse

If you have any questions regarding release of health information, please call 941-917-1103.

To submit your request once your form is completed:

Please bring form to:
Health Information Management
Release of Information Office
Ground Floor of Main Hospital
Hours: Monday – Friday, 8:00am – 5:00pm
Closed on holidays

Mail form to:
Sarasota Memorial Hospital
Attention: Health Information Mgmt/Release of Information
1700 South Tamiami Trail
Sarasota , FL 34239

By law, we may not release your medical records through a request made by phone, by email or through the use of an online form. The form must be filled out completely in order to process your request. Instructions on filling out the form are found on the second page of the document.

Download » Release of Information Authorization Form
(In order to view PDF files, you will need the Adobe Acrobat Reader, which is freely available from Adobe’s Web site. )

Release of Information Charges
$1.00 per page for copying of records plus tax, postage and handling.

Under Florida law, e-mail addresses are public records.  If you do not want your e-mail address released in response to a public records request,
do not send electronic mail to this entity.  Instead, contact Sarasota Memorial Health Care System Public Relations Offices by phone or in writing:
1700 South Tamiami Trail, Sarasota, Florida 34239 | 941-917-9000 or 800-764-8255.
CONSUMER DATA: Sarasota Memorial is accredited by The Joint Commission. Click here for information.
Agency for Health Care Administration Centers for Medicare / Medicaid Services  |  PRIVACY
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