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  • Authorization To Disclose Confidential Information - Florida Bb

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AUTHORIZATION TO DISCLOSE CONFIDENTIAL INFORMATION INFORMATION MAY BE DISCLOSED BY: Person/Facility: Phone #: Address: Fax #: INFORMATION MAY BE DISCLOSED TO: Person/Facility: Phone #: Address: Fax.

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Retrieving Records To request medical records from our facility complete the Disclosure Consent Form DH3203 and mail or fax it to the DOH-Duval Locations where you were last seen. Legal or public record requests and subpoenas should be mailed in or faxed to 904-253-2743.

1. How long must I keep medical records? ing to Florida law, a physician is responsible for maintaining records for at least five years (64B8-10.002).

Florida law requires patient authorization for disclosure of some sensitive health data with certain exceptions in medical emergencies. An authorization form can be used by a patient or his/her authorized legal representative to authorize a healthcare provider to obtain the patient's records from another provider.

ing to the laws of Florida, the physicians must maintain and retain the medical records for five years. After five years, the medical records can be destroyed without worrying about the legal consequences.

In order to obtain your medical records, you should send a written request via certified mail to the last known address of the physician (you can find a physician's last known address on their Practitioner Profile).

Can patients obtain their records from a healthcare practitioner? Yes. Section 456.057, Florida Statutes, allows patients or their legal representative to receive copies of all reports and records relating to an examination or treatment by a healthcare practitioner.

(3) Except as provided in subsection (4) of this rule, complete psychological records shall be retained by the licensed psychologist for a minimum of 3 years after (a) the completion of planned services or (b) the date of last contact with the user, whichever event occurs later in time.

To keep your practice compliant with their regulations, you must retain all medical records for at least five years. Critical access hospitals must do so for six years.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232