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 - 234 KB) Please also read the WFL Patient Fee Agreement (PDF - 98.6 KB) .
Upon completion, you may fax your Authorization Form to the Medical Records Department at Oak Hill Hospital. Please fax forms to 352-597-6387.
You may personally deliver these forms by entering through the Main Entrance of the hospital. When you arrive at the South Tower Information Desk, turn left down the main corridor, and then turn left at the following corridor. The office is located on the left with a sign above the door.
You may also mail your forms to the address listed below.
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 allow 7-10 business days for us to process your request.
Secure, online, immediate access to your medical information is available! Click here to learn more about our Patient Portal.
Oak Hill Hospital
Attn: Medical Records
11375 Cortez Blvd.
Brooksville, FL 34613
Tel: (352) 597-6376
8:30 am to 4:30 pm Monday through Friday
For further information or assistance with the Authorization form, please call (352) 597-6376.