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 - 60 KB)
Upon completion, you may fax, mail, or personally deliver your Authorization to the Health Information Management (HIM) Department at Oak Hill Hospital.
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.
Oak Hill Hospital
Health Information Management (HIM) Department
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.