Medical Records

What You Need to Know About Requesting Medical Records

What You Need to Bring:

• Your photo ID
• For records for a minor, bring guardianship paperwork (if guardian is other than parent)

Who Can Access Medical Information?

Records for Minors: Only the parent or legal guardian (with legal proof) can sign for the release of a minor’s medical information.  A note from a parent giving temporary guardianship to another person will not suffice as legal guardianship.

Exception: Only the client, even if a minor, can sign for the release of their own records pertaining to Family Planning, HIV or STD (picture ID required).

Records for Adults: Only the client can sign for the release of their own medical information.  Your spouse, child, friend, parent, or significant other will not be given access to your information.

Exception: Only with legal durable power of attorney (which covers access to someone’s medical care/information) or medical surrogacy documents can another adult access your medical information.

Copy Fees: Only copies of immunization records are given at no charge.  All other copies of records are charged at $1 per copy for the first ten pages then .25 cents for each additional page.  Up to ten pages of copies will be given to a client when they present copies for themselves. However, when more than ten pages are needed, we use our copy service company for processing the request. When the copy service is used, they will bill for any copy fees themselves.

Medical Records Release Form - English (PDF 23KB) - please print, complete and return.

Formulario de liberación de expedientes médicos - Spanish (PDF 94KB) - por favor imprima, complete y regrese.

Medical Records Department Hours

Monday through Friday, 8:00am - 5:00pm (closed 12:00pm - 1:00pm for lunch)

Contact Us

Medical Records at the Umatilla Health Center

249 E. Collins Street, Umatilla Florida 32784

Ph: (352)-771-5500
Fax:(352) 630-6090