To request your medical record, you can download our printable Release of Information Form. Please print and fill out the form, sign it and mail it to the hospital listed below.
Please note: We must have your signature to release the records you request. To protect your confidentiality, all patients 18 years of age or older must sign the Release of Information Form. A parent or a legal guardian may sign for children under the age of 18.
Download the Release of Information Form
If you wish to pick up your medical records, you may do so at Winter Haven Hospital. Hours of operation are Monday-Friday, 8am to 4:30pm.
Health Information Services
Winter Haven Hospital
200 Ave. F NE
Winter Haven, FL 33881
If you have any additional questions, please visit our FAQ page or call (863) 293-1121 x1169.