Medical Records
If you are interested in obtaining a copy of your medical record(s), please print the Authorization For Release of Protected Health Information and complete, to the best of your knowledge, all the information on the form.
Upon completion, you may fax, mail, or personally deliver your Authorization to the Health Information Management (HIM) Department at Fort Walton Beach Medical Center. Our fax number is (850) 862-9866.
Please note, for us to adequately verify your identification, and for us to validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver's license or state I.D.), and a telephone number. Per Florida statute, there may be a charge for providing the copy. For further information, or for assistance with completing the form, please call the Health Information Management Department at (850) 863-7530. Our office hours are 8:00 am to 4:30 pm Monday through Friday.
Please allow 3 - 7 business days for us to process your request.
Thank you. It is our sincere pleasure to assist you.