Medical Records
If you are interested in obtaining a copy of your medical record(s), please print and complete the Authorization For Release of Protected Health Information. (PDF - 43.2 KB)
Upon completion, you may fax, mail, or personally deliver your Authorization to the Health Information Management (HIM) Department at University Hospital and Medical Center.
In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver's license, military I.D. or state I.D.), and a telephone number. Per Florida statute, there may be a charge for providing the copy.
Please allow 2-3 business days for us to process your request.
Contact Us
University Hospital and Medical Center
Health Information Management (HIM) Department
7201 N. University Drive
Tamarac, FL 33321
Tel: (954) 724-6354
Fax: (954) 724-6365
Office Hours:
8 am to 5 pm Monday through Friday
For further information or assistance with the Authorization form, please call (954) 724-6354.