Request Your Medical Records
We provide multiple ways for patients and caregivers to request medical and billing records from us. Whether it is for our inpatient hospitals, skilled nursing facilities, outpatient clinics or home health, our team is here for you.
How to Request Your Medical Records:
Brooks Rehabilitation requires completion of Authorization for Release of Health Information form for the release of medical records. The release of protected Health Information is governed by Federal and State Regulations. You can request your medical records now by clicking the button below.
Medical & Billing Record Release
Things to know when requesting medical records
- A valid photo ID or Durable Power of Attorney is required for record pick up.
- The faxing of medical records is prohibited except for continuing care patient care. Records for this purpose must be faxed directly to the treating physician’s office or healthcare provider.
- Please allow 5-7 business days to process your request.
- Hours of operation: Monday through Friday from 8:00 a.m. to 4:30 p.m.
- Production fees may apply.
If you are requesting records for a patient who lacks legal capacity or is unable to sign, an authorized personal representative may sign this form. Written proof of authority should accompany the request in order to verify appropriate health information access for the following:
- Court-appointed guardian or other legally appointed representative
- Executor/administrator/attorney in fact
- Affidavit next of kin
- Power of Attorney
Additional ways to request medical records
There are a few options to get your request to us, besides filling out the form above. If you chose these options, please download and fill out the PDF application linked below.
Authorization for Release of Protected Health Information
Walk-In:
Brooks Rehabilitation
3599 University Blvd South
Jacksonville, FL 32216
Mail:
3599 University Blvd. South Suite 1000
Jacksonville, FL 32216
Fax: (904) 345-7213
Email: Email a PDF of your authorization to the Release of Information Department at [email protected].
Questions? Call us at (904) 345-7235
To request a copy of your medical records for services provided by Halifax Health and Brooks Center for Inpatient Rehabilitation, please contact:
Halifax Health
HIM Department
303 N. Clyde Morris Blvd.
Daytona Beach, FL 32114
Phone: (386) 425-4040
Fax: (386) 425-7514