Medical Records

Welcome to the Medical Records – Health Information page. In order to obtain access to your medical records, please download the appropriate form below and return it to St. Luke’s via fax or mail.

FORMS

Authorization for Release of Protected Health Information (this form should be used if you are requesting your medical records for your own records or to be sent to another medical facility.)

Authorization for Release of Patient Information (this form should be used if you would like St. Luke’s to be able to communicate with someone about your healthcare or appointments.)

CONTACT INFORMATION

Mailing Address
St. Luke’s Cataract & Laser Institute
Attn Medical Records
43309 US Highway 19 N
Tarpon Springs, FL 34689

Phone
800-282-9905

Fax
727-938-5606

ADDITIONAL INFORMATION

Non-urgent requests for medical records will be processed within 30 business days.

All requests for medical records must be made via one of the forms on this page.

Our Locations

We proudly serve patients at our eye clinics in Tarpon Springs, Tampa, St. Petersburg, Clearwater, Spring Hill, and in The Villages at Lake Sumter Landing, Brownwood and coming to Wesley Chapel in Spring 2023. Our philosophy is to treat those we serve as though they are a member of our own families. From the first phone call or email to the follow-up visit and beyond, we’re here to serve you. Our goal is to help preserve and optimize your vision.