Medical Records

If you would like to obtain a copy of your medical records, images or test results, we are here to help. To ensure privacy, we require that all request forms be signed and dated by the patient or the patient’s legally authorized representative, parent or guardian.

If the patient is under psychiatric care, the supervising psychiatrist will be required to sign the form. For more information about our legal requirement to maintain the privacy of your health information, see our Patient Privacy Notice

Obtaining Medical Records, Images or Test Results

1. Select a form below:

Patient Medical Records Forms
Health Information Management(HIM) Office

Radiology Form (typed report)
Health Information Management (HIM) Office

Radiological Images Form (X-ray, MRI)
Radiology and Medical Imaging Department

Mammography Form (breast, ultrasound, screening, diagnostic)
Breast Health Services/Mammography Imaging Department

Mammography Form (images on cd)
Breast Health Services/Mammography Imaging Department

EEG Lab Result Form
EEG Lab

EEG Form (images on cd)
EEG Lab

2. Contact the hospital department where you received care below

Baptist Jacksonville & Wolfson Children's Hospital

Health Information Management (HIM) Office

Hours: M-F 8:30 am to 5:00 pm
Call: 904.202.1169
Fax: 904.202.2233

Mammography Imaging Department / Hill Breast Center

Office: 904.202.1896*
Fax: 904.202.6520 *If you reach voice mail, please leave a detailed message. This will help us expedite your request.

Radiology & Medical Imaging Department

Adult Office: 904.202.2167
Adult Fax: 904.202.1031 Pediatric Office: 904.202.8139
Pediatric Fax: 904.202.8144

EEG Lab

Adult Office: 904.202.2167
Pediatric Office: 904.202.8280

Baptist Medical Center South

Health Information Management(HIM) Office

Hours: M-F 8:00 am to 4:30 pm
Call: 904.271.6040
Fax: 904.271.6044

Mammography Imaging Department

Office: 904.271.6180
Fax: 904.271.6655

Radiology & Medical Imaging Department

Call: 904.271.6166
Fax: 904.271.6203

Baptist Medical Center Beaches

Health Information Management(HIM) Office

Hours: M-F 8:00 am to 4:30 pm
Call: 904.627.2945
Fax: 904.627.1824

Mammography Imaging Department

Office: 904.627.1589
Fax: 904.627.1594

Radiology & Medical Imaging Department

Call: 904.627.2990
Fax: 904.627.1512

Baptist Medical Center Nassau

Health Information Management(HIM) Office

Hours: M-F 8:00 am to 4:30 pm
Call: 904.321.3602
Fax: 904.321.3615

Mammography Imaging Department

Office: 904.321.3602
Fax: 904.321.3615

Radiology & Medical Imaging Department

Call: 904.321.3541
Fax: 904.321.3725

Baptist Clay Medical Campus

Health Information Management(HIM) Office/ Patient Access Services

Hours: M-F 8:00 am to 5:00 pm
Call: 904.516.1001
Fax: 904.516.1530

Mammography Imaging Department / Hill Breast Center

Office: 904.516.1220
Fax: 904.516.1535

Radiology & Medical Imaging Department

Call: 904.516.1214
Fax: 904.516.1535