To request your medical record from St. Joseph's Hospital-North, you can download our printable Release of Information Form. Please print and fill out the form, sign it and fax it or mail it to the address 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. If you have any additional questions, please call (813) 443-7079.
If you wish to pick up your medical records, you may do so at the address below Monday-Friday, 8 am to 4:30 pm.
St. Joseph's Hospital-North
4211 VanDyke Road
Lutz, FL 33558
Fax: (813) 635-2514