Release of Information / Record Requests

Written authorization is required for medical records from Central Florida Behavioral Hospital and must be submitted to the Health Information Management (HIM) Department.

The timeframe for the request once it is received by Central Florida Behavioral Hospital HIM Department will be dependent on several factors:

  • availability of records
  • volume and age of records requested
  • requested format
  • additional approvals needed

Medical records are typically mailed.

Requesting Medical Records

How to Request Medical Records

  • Download the HIPAA complaint HIM authorization form using the link below. Once you have completed the form – must be signed (no typed signatures), must have a valid full mailing address, if requesting as legal guardian/guardian ad litem/POA a copy of the legal papers must be included with the request, choose one of the following to send it to Central Florida Behavioral Hospital HIM:
  • Record Authorization/Release Form
  • Fax to: 407-264-7740
  • Mail to: Central Florida Behavioral Hospital, HIM Dept., 6601 Central Florida Parkway, Orlando, FL 32821
  • Drop-off at Central Florida Behavioral Hospital Reception
  • Timeframe: from Central Florida Behavioral Hospital HIM receiving a completed compliant authorization, standard release may take 30-days or more. All requests will be processed as timely as possible.

If you have questions, please call: 407-370-0111 (ask receptionist to transfer to Medical Records)

HIM is open Monday through Friday, 8:00A.M. – 4:30P.M excluding Holidays. We are available to answer any questions you may have on completing the release form or any general release of information questions.

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