To request copies of your medical records, please complete an Authorization for Disclosure of Health Information Form and mail to:
Shriners Hospital for Children — Tampa
Attention: Health Information Management Department
12502 USF Pine Drive
Tampa, FL 33612-9411
A parent or legal guardian must sign the authorization form for children younger than 18. We are required to verify your signature to release copies of medical records. It may be necessary to provide proof of legal guardianship and/or state or government-issued photo identification.
Adults who were treated at Shriners Hospital for Children — Tampa as minors must submit a legible copy of a valid state/government issued photo.
Requests for copies usually take 10 to 15 business days to process upon receipt of a completed, valid authorization form. The requested documents will be mailed to the address listed on the authorization form.
Authorization forms not completed in their entirety and/or requiring verification of signature or proof of legal guardianship will not be processed.
Please contact the health information management department at 813-975-7110 during our regular business hours: 8 a.m. to 4:30 p.m., Monday through Friday, with any questions.