Requests for medical records will be processed by HealthPort at a Centralized Processing Center in Orange Park, Florida.

If you are interested in obtaining a copy of your medical records, please print and complete the following form and send it to the address or fax number below:

Authorization for Release of Protected Health Information Form

Orange Park HSCM
Attn: Release of Information
335 Crossing Blvd.
Orange Park, FL 32073
Fax Number: (855) 668-0697