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. (PDF - 250 KB)
Upon completion, you may fax, mail, or personally deliver your Authorization to the Health Information Management (HIM) Department at Doctors Hospital of Sarasota.
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. Per Florida statute, there may be a charge for providing the copy.
Please note that it can take up to two weeks to receive copies of records by mail.
Health Information Management
5731 Bee Ridge Road
Sarasota, FL 34233
Tel: (941) 342-1041
Fax: (941) 371-1029
8:15 a.m. to 4:15 p.m. Monday to Friday, closed on holidays
For further information or assistance with the Authorization form, please call 941-342-1041