Student Health Collaboration

Nemours is making it easier for school nurses who work in Delaware Public Schools to be a part of your child's care team. With parental consent, school nurses are able to access school-age patients' electronic health records. Learn More »

Records Requests & Release

If you need your child’s medical records for yourself or a physician, or you want to make restrictions on who can see them, you’re in the right place.

 
Request a Copy of a Medical Record
You can request a full copy of a medical record if you are a:
  • parent or legal guardian of a patient under the age of 18
  • patient under the age of 18 with legal rights to consent for him/herself
  • patient 18 years and older
  • legal guardian of a patient 18 years or older with written patient consent
  • legal guardian of a patient 18 years or older who doesn't have the capacity to consent

To submit your request, simply fill out, sign, and send (via mail or fax) an Authorization to Release Form (PDF) to the location you received care. Requests are normally processed within five to seven business days.


Service Fees

There is a charge for medical record requests and it differs by state.

State

Delaware
Florida

Cost Per Page

$.25
$.25

Postage

$5.00
None

 
Request a Copy of X-rays

To request a copy of your child’s X-rays, call the location where the X-ray was performed.

Delaware
Florida
Pennsylvania
 
Release or Authorize a Medical Record Disclosure

If you would like a physician or other individual or entity to have access to your child’s medical record, you must fill out, sign, and send (via mail or fax) an Authorization for Release Form (PDF) to the location you received care.
Identify who you’re authorizing under the “Disclose Medical Record To” section of the form.

 
Revoke an Authorization

You can revoke, or cancel, a prior authorization to access your child’s medical records by submitting your request in writing. Be sure to include the date of the release you want revoked, sign the letter, and send it (via mail or fax) to the location you received care.

Note: Nemours is not liable for prior releases made under the initial authorization.

 
Restrict Access to a Medical Record

You can restrict a person or entity from seeing certain parts of your child’s medical record, like test results, treatments, etc. To do so, you must fill out, sign, and send (via mail or fax) a Request for Restriction Form (PDF) to the location you received care. Once your provider reviews the information, we’ll contact you with the outcome of the request.

 
Fix a Medical Record Error

If you think there is an error on your medical record, fill out, sign, and send (via mail or fax) a Request for Amendment Form (PDF) to the location you received care. Once your provider reviews the information, we’ll contact you with the outcome of your request.


Medical Records Contacts

Delaware Valley Locations

All Delaware, New Jersey and Pennsylvania Locations

Records Release: (302) 651-5091, option 1
Fax: (302) 651-4480

Florida Locations

All Orlando, Lake Mary and Viera Locations

Phone: (407) 650-7401
Fax: (407) 650-7121

Jacksonville, Jacksonville South and Fleming Island Locations

Phone: (904) 697-3716
Fax: (904) 697-3692

Pensacola and Destin Locations

Phone: (850) 473-4570
Fax: (850) 505-4710