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 - 305 KB)
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 3-5 business days for us to process your request.
Largo Medical Center - Main Campus & Indian Rock Campus
Health Information Management (HIM) Department
201 14th St SW
Largo, FL 33770
Phone: (727) 588-5807
Mon - Fri: 8:30am – 4:00pm