Requesting Copies of Medical Records

Request a Copy of Your Medical Records

Tampa General Hospital (TGH) is here to help you get a copy of your medical records.

Where Do You Need Records From?

If your care was at one of the locations below, please use the correct link or contact them directly:

Specialty Hospitals:

  • TGH Rehabilitation Hospital
    Phone: 813-893-6000
    Address: 1307 W. Kennedy Blvd., Tampa, FL 33606
  • TGH Behavioral Health Hospital
    Phone: 813-893-6300
    Address: 1303 W. Kennedy Blvd., Tampa, FL 33606[

To request records for any other location, please follow the instructions below:

Patients: How to Request Your Records

Option 1: Use MyChart 
  • Select the link below to request your records
  • Log into your MyChart account
    Request a copy of your health record here
    No fee when sent to MyChart
    Records are released to your MyChart account in a downloadable PDF format

Option 2: Submit a Written Request
You can use the official form or write your request on paper or use the official form (linked below[AD5.1]).

Important:

  • You must sign and date your request
  • A handwritten (wet) signature is required
  • Electronic signatures are not accepted

Use the Official Form
You may use the official form instead of writing your own request:

Write your request on paper.
Your request must include:
  • Your full name
  • Your date of birth
  • Your contact information
  • The location where you received care
  • The dates of service
  • The records you are requesting
  • How you want the records sent (email or mailing address)

How to Submit Your Request
Send your completed request or form by email, fax, or mail (Instructions are included on page 2 of the form.)

Fees

  • You may be charged for copies of your records
  • You will be told the cost before records are sent

No fee if:

  • Records are sent to your MyChart account
  • Records are sent directly to your doctor’s office

Processing Time:

  • We will complete your request within 30 days
  • If we need more time (up to another 30 days), we will send you a written notice

How You Can Receive Your Records:

  • Your records can be sent to your active MyChart account.
  • Paper copies can be mailed to you (a postage fee will apply).
  • Records can be emailed to you as a PDF using the email address you provide.Records can be sent as a PDF by email to the address you provide.
  • Records (PDF format) can also be saved on a CD and mailed to the address you provide.

THIRD-PARTY REQUESTERS
Requests for Copies of Another Individual’s Medical Record

All requests must be submitted in writing. Third-party requesters are required to provide a HIPAA-compliant authorization that is signed (wet signature) and dated by the patient or the patient’s legally authorized personal representative.

If the authorization is signed by someone other than the patient, valid legal documentation establishing the individual’s authority to act on behalf of the patient must be included at the time of submission to avoid delay. Electronic signatures are not accepted.

For convenience, third-party requesters may utilize Tampa General Hospital’s (TGH) Authorization to Disclose Health Information form and submit it directly to the TGH Health Information Management (HIM) Department.