If you are interested in obtaining a copy of your medical record(s), please print and complete the Authorization for Release of Protected Health Information form.
Download the Authorization for Release of Protected Health Information form:
Upon completion, please fax or mail your authorization to:
Tampa HCA Shared Service Center- HSC Release of Information
3301 Executive Way
Miramar, Florida 33025
In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or State I.D.) and a telephone number.
Health Information hours are from 8:30 a.m. – 5:00 p.m. Monday through Friday.
Please note that patients will be charged $0.25, per page, for copies of their medical record. This charge covers the necessary labor, equipment and material costs of reproducing your medical record, and is permissable by Florida state statute §395.3025.
You can expect to receive your medical record information mailed to you within 5-7 business days from the date of request.
If your physician or other healthcare provider needs this information for purposes of continuity of care, we will fax your medical record information directly to this provider at no charge to them or you.
Kendall Regional Medical Center
11750 SW 40th Street
Miami, FL 33175
(305) 223-3000 ext. 2632