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Medical Records

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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.


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.)


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




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, Wesley Chapel and in The Villages at Lake Sumter Landing and Brownwood. 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.

43309 US Highway 19 N
Tarpon Springs, FL 34689
501 S. Fort Harrison Ave
Clearwater, FL 33756
187 Mariner Boulevard
Spring Hill, FL 34609
9400 9th Street N.
St. Petersburg, FL 33702
13303 N. Dale Mabry Highway
Tampa, FL 33618
1050 Old Camp Road, STE 230
The Villages, FL 32162
2955 Brownwood Blvd. Suite 303
The Villages, FL 32163
25232 State Road 54
Lutz, FL 33559

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