Ascension St Vincent's Southside Emergency Room

  • Emergency Care
Open 24 Hours
Medical Records Request
As a patient, you have the right to access your medical records. Here you'll find instructions and a convenient form to help us process your request.

Ascension St. Vincent’s maintains medical records for up to 10 years. If you would like a copy of yours, you can do so in person or by fax. The cost is $1 per page for individuals seeking copies of their records.

By Fax
To protect your medical and personal information, your signature is required to obtain your medical records. Please fill out a Release of Medical Information Form and fax to the facility you were treated at using the fax number provided on this form.

In Person
In order to receive a copy of your records, you must present a valid picture ID or Power of Attorney documentation. You may pick up your records at the medical record office of the hospital where you received treatment. Each of our locations is open Monday through Friday between 8:00 am and 4:30 pm. Our office is located in the Ground Floor of the main building.

For more information, please call the Ascension St. Vincent's Southside - Health Information Management Office at 904-296-3758.

How To Obtain X-Rays And Other Images

You may obtain copies of your X-rays, mammograms and other imaging results on each of our three campuses. These results are offered on CD at no charge. In order to receive a copy, you must contact the facility where you were treated and allow for 24 hours to process the order.

4201 Belfort Road
Attn: Imaging Office 
Jacksonville, FL 32216



Monday - Friday 8:00 am to 4:30 pm

Request a Birth Certificate

To obtain copies of birth certificates of babies born at one of our hospitals, please contact:

Duval County Health Department
Attn: Office of Vital Statistics
900 University Blvd. N. Ste. 101
Jacksonville, FL 32211
Phone: 904-253-1620