Schedule an Appointment: 727.388.1220
Administrative Office: 727.327.7656   fax:727.322.2109
Sexual Assault Service Helpline: 727.530.7273
Abuse Hotline: 800.962.2873

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Strengthening, protecting and restoring lives for a healthy community

HEALTH RECORDS REQUEST

Health records will not be released without a
Release of Information on file.

Contact Info
Address
HIM/Correspondence Hotline
Tel.: 727-327-7656 x4055
Fax: 727-322-2157


HIM Senior Manager
Tel.: 727-327-7656 x4139
Fax: 727-323-8978


Suncoast Center, Inc.
4024 Central Avenue
St. Petersburg, FL 33711
To request your health records, download a copy of the Release of Information. 

Bring the completed form along with a picture ID, proof of guardianship or power of attorney, if applicable, to the address listed above.

If you need a copy of your health records mailed, contact the Health Information Management/Correspondence Hotline at 727.327.7656, ext. 4055.

​​Please Note: No record will be released without a signed Release of Information on file.

There will be a charge of $1.00/page for the first 25 pages of copies mailed (plus postage and handling) and $.25 for each additional page, or you can request to have the records sent electronically encrypted at no charge.

While we make every effort to process each request within 7 days, requests may take up to 30 days for processing.  
Click here to download a copy of the
Release of Information.

APPOINTMENTS

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