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Release of Information

 

Sarasota Memorial maintains a medical record for every patient who visits the hospital,emergency room, clinic, or outpatient or laboratory setting. We have a legal and ethical responsibility to preserve the privacy of every patient’s protected health information.Before we release information, the patient or his or her legally qualified representative must give prior authorization.

 

To request a copy of your medical or billing records, please download and complete the release form and provide proof of identification with a valid, government-issued photo ID.Bring the form to our Release of Information Office on the first floor of the hospital, just beyond the C elevators, or mail or fax it to the address below. The office is open Monday through Friday, 8 a.m. to 5 p.m. Requests for medical records regarding continuation of care are sent directly to the physician at no cost. Physician offices may call 941-917-1108 to request medical records. All other requests are subject to CIOX pricing. Fees are charged based on the type of record and the delivery method, either electronic or on paper.

Release of Information Office
Sarasota Memorial Hospital
1700 South Tamiami Trail
Sarasota, FL 34239
941-917- 1103
Fax: 941-917- 2454
Release Form - English
Release Form - Spanish
Lab & Radiology Release Form - English
Medical Records E-Delivery Form
CIOX Pricing Information About Your Medical Record Request

Birth Certificates
We complete birth certificate information electronically for every infant born in the hospital, in compliance with Florida state requirements. Once our registrar enters the information, it is transmitted to the state automatically. Copies are available from the Sarasota County Health Department Vital Records Department at 2200 Ringling Blvd. in Sarasota, or at the following mailing address:

Sarasota County Health Department
Attn: Vital Records
P. O. Box 2658
Sarasota, FL 34230-9912

Mailed subpoenas - Subpoena’s served to the Hospital or one of its many entities must be in accordance with the Florida Rules of Civil Procedure 1.351(c) via certified U.S. Mail, FedEx,UPS or DHL with written confirmation of delivery or return receipt at the following address (so that they can be properly signed for):

Sarasota Memorial Hospital
Legal Services Office
1700 S. Tamiami Tr.
Sarasota, FL 34239

Hand served subpoenas  - hand delivered via Process Server for Medical Records, Depositions, Trials, and Standby of SMH personnel must be hand-delivered to the Hospitals agent at the new Legal Services Office at the following address: 

Sarasota Memorial Hospital
Legal Services Office
1700 S. Tamiami Tr.
Sarasota, FL 34239

Patient Authorizations - Valid Medical / Patient Authorizations may be mailed to the Hospital via U.S. Mail at the following address: 

Sarasota Memorial Hospital 
Health Information Department (HIM)
1700 S. Tamiami Tr.
Sarasota, FL 34239