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Medical Center of Trinity
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Citrus Park ER
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Medical Records

Looking to obtain a copy of your medical records?

We offer two ways to access your medical record:


MyHealthOne Portal (Online Medical Record Access):

Free and secure online access to your medical record is available through the MyHealthOne Portal. You can access to your clinical record summary and test results including labs, diagnostic imaging and pathology. Get started below.

Access Patient Portal


Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

  1. Print and complete the Medical Records Release Form and Fee Agreement.
  2. Complete, sign and date both forms. 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.).
  3. Mail, fax or personally deliver your paperwork to the facility where you were treated.

Mail

HIM Shared Services – Centralized Release of Information
6451 126th Ave N
Largo, FL  33773

Phone: (866) 463-7272

Fax: (855) 446-6008

Email

Email requests to: HSCT.MRRequest@parallon.com


Per Florida statute, there may be a charge for providing the copies at $0.25 per printed page and $0.02 per page for electronic copies. Records will be mailed within 5-7 business days.

For further information or assistance call (866) 463-7272.


Download Forms


Medical Records Release

English

Spanish


Fee Agreement

English

Spanish


Urgent Requests, Records for your Physician

For immediate continuity of care, your healthcare provider can request records.

The physician office must fax a written request on their letterhead to (855) 446-6008 indicating the patient’s name, date of birth and date of visit in the facility. For assistance call (866) 463-7272.


Insurance, Attorney, Disability and Third Party Requests

Requests should be sent from your insurance company, attorney, or Disability Determination Service and mailed to the address below. We cannot accept faxes and email requests.

Mail request to:

HIM Shared Services – Centralized Release of Information
6451 126th Ave N
Largo, FL 33773

Phone: (866) 463-7272