To receive your medical records from a physician office, download the form here.

To receive a copy of your hospital medical records, download the form here.

Health Information Management Services (formerly the Medical Records Department) maintains records for all inpatient, same-day surgery and outpatient services for both the Florida Hospital Memorial Medical Center and Oceanside campuses. Access to records is protected by federal HIPAA regulations. Copies of records may be released upon receipt of written authorization of the patient (if over 18 years of age) or the parent/guardian. The authorization must:

• Include the name and address of the person receiving the copies
• Specify the information to be released (including date(s) of service)
• Be signed and dated by the patient or parent/guardian
• Be addressed to the proper facility location

In emergency situations, information can be faxed.

There is a charge to obtain copies of medical records if requested for private use by patients or parents. The charge is waived if the copies are forwarded directly to other medical providers or facilities for continuing medical care. 

Release of Information Hours
8 a.m. – 4:30 p.m.
Monday – Friday

Location Information
Florida Hospital Memorial Medical Center   
Health Information Management  – Main Campus Lobby
301 Memorial Medical Parkway  
Daytona Beach, FL  32117
Phone: 386-231-3066         
Fax:  386-231-3323

Fee Schedule
If the records are needed for continuing care, there is no charge when records are sent directly to your physician or the facility providing treatment.
If you are requesting copies of your medical records for your personal use, the following fees apply*:

Price per page: $1.00
Applicable taxes, postage and handling fees are additional and based upon package size and ship to address. You will receive a pre-payment request once your records have been retrieved and copied. Upon receipt of payment, Release of Information staff will forward your records to the designated address.

The Health Information Customer Service Desk is available from 8 a.m. to 4:30 p.m, Monday through Friday. Once an authorization for release of medical records is received, it may take up to 10 days to process your request.
If your records are needed for treatment or for an appointment within the next 48-72 hours, your physician can request your records by fax when you arrive in his/her office for treatment. (Records can be faxed to the physician’s office at no charge to the patient.)

Birth and Death certificates are NOT available from FHMMC's  Health Information Management department. These records must be ordered from the Department of Vital Statistics. Please see the contact information listed below:

Volusia County Health Department (www.volusiahealth.com)
PO Box 9190
Daytona Beach, FL 32120

1845 Holsonback Dr.
Daytona Beach, FL 32117

(386) 274-0614

FAX (386) 274-0612

You may also contact the Florida State Office of Vital Statistics, PO Box 210, Jacksonville, FL 32231. Phone number (904) 359-6900 ext. 9000.