Looking to obtain a copy of your medical records?

Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

  1. Print and complete the Medical Records Release Form.
  2. Complete, sign and date the form. 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.).
  3. Mail, fax or personally deliver your paperwork to the facility where you were treated.

Mail

Highlands Regional Medical
HIM Department
3600 S. Highlands Ave
Sebring, FL 33870

Phone: (863) 471-5805

Fax: (863) 385-3726


Download Forms


Medical Records Release

English

Spanish



Urgent Requests, Records for your Physician

For immediate continuity of care, your healthcare provider can request records.

The physician office must fax a written request on their letterhead to (863) 385-3726 indicating the patient’s name, date of birth and date of visit in the facility. Please indicate “STAT” for all urgent requests.

For assistance call (863) 471-5805.


Insurance, Attorney, Disability and Third Party Requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. We cannot accept faxes and email requests.

Mail request to:

Highlands Regional Medical
HIM Department
3600 S. Highlands Ave
Sebring, FL 33870

Phone: (863) 471-5805