How to Obtain Copies of Your Medical Records

Wellington Regional Medical Center (WRMC) retains records of the medical care you receive here in the Health Information Management Department. These records are kept in strict confidence and are not released without the written consent of the patient, except as required by law.

WRMC satisfies requests for medical records for all inpatient, outpatient and clinical services affiliated with WRMC. The Release of Information Staff will be happy to assist you in obtaining your completed medical records upon receipt of a valid authorization. You can mail, fax or email your authorization to release health information.

Authorization Release of Protected Health Information 

DOWLOAD THE FORM (ENGLISH)

DOWNLOAD THE FORM (CREOLE)

DOWNLOAD THE FORM (SPANISH)

Please print and fully complete the form, sign it and return to the hospital. Electronic signatures will not be accepted. Service fees for copies may apply. Questions? Call 561-798-8680.

Mail:
Wellington Regional Medical Center
Attn: HIM/ROI
10101 W. Forest Hill Blvd.
Wellington, FL 33414

Fax: 561-798-8578

Email: Wellington.HIM@uhsinc.com

In Person: ALERT: VISITORS ARE RESTRICTED AT THIS TIME
WRMC HIM Department, first floor
Monday – Friday | 8:30 to 5 pm

Frequently Asked Questions

How do I obtain a copy of my medical records?

Submit a valid authorization request directly to the Health Information Management Department in person, by email, fax or by mail. Please bring with you or submit a copy of your picture identification with your request. Examples include a driver’s license, student identification card and passport.

Can my medical information be read to me over the telephone?

No. Medical information is confidential and cannot be released over the telephone.

Who can legally sign for medical records?

Patients and/or an individual who is named as a decision maker or attorney-in-fact under a healthcare power of attorney signed by the patient. A copy of the Durable Healthcare Power Of Attorney or executor for estate of healthcare must be provided at the time of requesting records.

If the patient is deceased, the record must be requested by the court-appointed personal representative, who must present a raised seal original certificate of appointment issued by the Probate Court identifying the requester as the executor or executrix of the patient’s estate.

If the patient is under the age of 18, the patient’s parent or guardian may sign.

Is Medical Records Department able to discuss billing information with me?

No, you can contact the Central Business Office at 561-798-8678.