To get copies of your medical records, in compliance with state and federal regulations, you must send your request in writing. Medical records can only be released with proper authorization from the patient or the patient's legally authorized representative. Please download the PDF form below and be sure to sign and date it.
1.4-A Medical Records Authorization Form English
How to request your records
Mail inquiries to:
Attn: Health Information Management
2500 SW 75th Avenue
Miami, FL 33155
Fax your completed and signed form to 305-675-0372
How to get your record
All requests will be processed within thirty (30) business days of receipt. We can send your records directly to your physician’s office, or, if you prefer, we can email/mail them directly to you. You may also pick up your medical records at Keralty Hospital once we contact you.
Consent for email comunication of patient health information
Fees for medical records will be charged per applicable state and federal regulations. If applicable, a minimal fee may be charged.
For more information, please contact the medical records department at 305-264-5252, ext. 1705