If you are interested in obtaining a copy of your medical record(s), please print and complete the Authorization Form (PDF - 36KB).
Upon completion, please fax, mail, or personally deliver your Authorization Form to the Health Information Management (HIM) Department at Raulerson Hospital.
In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., Driver's License, Military I.D. Or State I.D.), and a telephone number. Per Florida statute, there is a charge for providing the copies.
The Health Information Management (Medical Records) Department of Raulerson Hospital now utilizes electronic medical records. Please note that it may take up to 72 hours for the Medical Records Department to furnish a copy of the requested records. Please call the Raulerson Hospital Health Information Management Department at 863-824-2881 as soon as you are aware that you will need a copy of your medical records. The transition to electronic medical record storage does not change the manner in which you will receive the medical records you request. If you have any questions, please contact Raulerson Hospital’s Health Information Managment Department.
Health Information Management Services
1796 Hwy 441 North
Okeechobee, Florida 34972
Tel: (863) 824-2881
Fax: (863) 824-2311
8:30 a.m. to 5:00 p.m. - Monday through Friday