Schedule an Appointment: 727.388.1220
Administrative Office: 727.327.7656   fax:727.322.2109
Sexual Assault Service Helpline: 727.530.7273
Abuse Hotline: 800.962.2873

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Strengthening, protecting and restoring lives for a healthy community

HEALTH RECORDS REQUEST

Health records will not be released without a Release of Information on file.

Contact Info
Address
HIM/Correspondence Hotline
Tel.: 727-327-7656 x4055
Fax: 727-322-2157


HIM Senior Manager
Tel.: 727-327-7656 x4139
Fax: 727-323-8978


Suncoast Center, Inc.
Attn: HIM Department
PO Box 10970
St. Petersburg, FL 33733
To request your health records, download a copy of the Release of Information. 
Complete the form and mail, fax or email the form to the address listed above.

Please Note: No record will be released with a signed Release of Information on file. There will be a charge of $1.00/page for the first 25 pages of copies sent to the client and $.25 for each additional page, or you can request to have the records sent electronically encrypted at no charge. While we make every effort to process each request within 7 days, requests may take up to 30 days for processing.  
Click here to download a copy of the
Release of Information.

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