- All requests must be in writing. Call our office at (352) 594-0909 to have the form mailed or faxed.
- If copies of actual videos or tracings are needed, please contact the Department where the test was performed.
In response to COVID-19 precautions, the release of information walk-in offices in radiology and on 39th Avenure are temporarily closed, however please know that we are available to assist. Please download and complete the release of information authorization form above. Once completed, please do one of the following:
- Fax it to 627-4500 (OR)
- Mail it to PO Box 100348, Gainesville, FL 32610 (OR)
- Scan and email it to firstname.lastname@example.org (OR)
- Take a photo of it and email it to email@example.com
Medical records will be mailed, emailed or released to MyChart per your request.
NOTE: If the request is for a non-UF Health Shands doctor’s office/facility, please ask the doctor’s office to do the following:
- Use their office fax cover sheet;
- Write your name, date of birth and what they need on the office fax cover sheet;
- Write STAT at the top of the page;
- Fax the form to the ROI office at 265-1098.
- The ROI office will fax the records directly to your doctor’s office.
Please contact the HIM Department at 352-594-0909 or 352-265-0131 with questions.
UF Health Shands (Radiology Dept.)
1600 SW Archer Road
Room G297 (Ground Level by the atrium elevators)
Gainesville, FL 32608
Hours: 8:00 AM - 6:00 PM M-F, excluding holidays
HIM Department (off of 39th Avenue)
Fax: (352) 627-4500
4002 NW 22nd Drive
Gainesville, FL 32605
Hours: 8:00 AM - 5:00 PM M-F, excluding holidays
Questions About Medical Records
What is a medical record?
It is a record of the information during the course of a patient’s treatment. It includes a variety of information in a variety of formats (written, electronic, x-ray film, etc.), including personal, financial, social and medical information. Your medical record serves as a basis for planning your care and treatment, a means of communication for the healthcare professionals contributing to your care, legal documentation describing the care you received, verification of services and treatment covered by your insurance, and basic data for health research and education.
Are medical records confidential?
The information found in medical records is confidential. Patients confide in their physicians because they are assured of this confidentiality and might not share the necessary personal information if this privilege did not exist. Healthcare workers are mandated by law and by professional standards to protect patient confidentiality. There are also state and federal laws to protect information related to specific diagnoses such as psychiatric/psychological, treatment of substance abuse (drugs and alcohol), and AIDS/HIV.
How long does it take to get copies of my medical record?
We will provide a copy or a summary of your health information, usually within 30 days of your request. Most record requests are fulfilled within 7 business days.
There is some incorrect information on my medical record. How can I get it corrected?
You can ask us to correct health information about you that you think is incorrect or incomplete. We may say “No” to your request but we’ll tell you why in writing within 60 days. Please call 352.265.0131 for more information. View the form to request medical amendments.
Can you give my medical records to me on a flash drive or CD?
UF Health Shands can provide your records on a CD, deliver them to you through email or through the MyUFHealth portal. Please provide an email address on your release form and once the records are prepared, we will release to your preference.
How can I obtain a copy of my medical record?
Request the copy from UF Health Shands HIM Department at PO Box 100345, Gainesville, FL 32610. Forms are also available in each of the walk-in offices or you may send a written request to our PO Box or fax (352-265-1098). Your request must include the following:
- Patient’s full name
- Date of birth
- Patient’s telephone number
- Name, address, and telephone number where the records are to be sent
- Purpose of the request
- Specific items or dates of service needed
- Any restrictions on the request
- Date of the request
- Signature of the patient or, if the patient is a child, the parent or guardian
- Date this authorization expires (authorizations must be less than one year old)
- If signed by a personal representative, a description of his/her authority to act for the individual and a copy of the document giving that authority.
Please note: Records are released upon completion and after the patient is discharged.
Is there a charge for copies of my medical record?
Under Florida law, you may be charged a fee of up to $1.00 per page for each page copied. You can save money by asking for specific documents or a record abstract (all recent major reports) rather than the entire record. The copying fee is waived for copies provided directly to a healthcare provider for continuing medical care.
Can I see my medical record from the Internet?
Yes, we can provide records to you via a secure website in PDF format. For this option, you must complete an Authorization for Use or Disclosure of Protected Health Information and provide a valid and legible e-mail address. You may be charged a fee for these records. You may also view portions of your record through myufhealth which offers patients personalized and secure on-line access to portions of their medical records at no cost to you. For more information and to sign up, please go to https://ufhealth.org/myufhealth-login.
Can you fax the records to me?
We do not fax medical records, except in an emergency to another health care provider.
Can I review my medical record in person?
No, however we will be glad to release the records to you through the MyUFHealth portal, email, CD or on paper.
Is an Authorization for Release of Information “good” forever?
Valid authorizations are good until revoked or they expire. It is important to note that once a release request has been fulfilled and additional records are requested, a new release form must be completed.
Who can access my medical record?
We are required by law to maintain the privacy and security of your medical record. We will not use or share your information, other than as described in our Joint Notice of Privacy Practices (NPP), unless you tell us we can, and you may change your mind at any time.
How secure are computerized medical records?
Computer-based medical records are as safe as paper records and are covered by the same laws. There are technical safeguards for the protection of computerized data as well as procedures for identifying and punishing violators.
How long will you keep my medical record?
By Florida Law, medical records must be retained for a minimum of eight years. Most records are retained longer.
What can I do if I suspect that someone is looking at my medical record without permission?
You should report this to the Privacy Officer appointed by your healthcare provider. For UF Health Shands, call the Privacy Office at 352.621.9050 or 1.866.876.4472.
My son is a 19-year old college student. My insurance pays for his hospital bills and I claim him as a dependent on my income tax. Why can’t I see his medical records?
By law, only the adult (age 18 or older) patient or a legally designated representative has the authority to release the information contained in a medical records about him/herself, regardless of who is paying the bills. Legally designated representatives include court appointed guardians or others with power of attorney for the patient. For children under age 18, only a parent or a court appointed guardian may authorize release of medical information.
How can one of my outside doctors get copies of my medical records?
Another healthcare provider (for example, a physician, nurse practitioner, or physical therapist), who is treating you can request copies of your health information at any time. It may be necessary to verify that this provider is currently treating you. The healthcare provider should submit a request in writing.
My mother died last year. Can I request a copy of her medical records?
The next of kin or personal representative of the estate may request those records. It may be necessary to verify that the patient has actually died and the identity of the next of kin.
My husband and I are divorced. Can we both have access to our children’s medical records?
Yes, unless parental rights have been severed by the court.