How to Request Medical Records for an Inmate at Seminole County Jail
To request an inmate's medical records from Seminole County Jail (John E. Polk Correctional Facility), you'll need to complete the facility's Authorization for Release of Protected Health Information form. You can submit it by mail, in person, fax, or email.
Seminole County's John E. Polk Correctional Facility uses an Authorization for Release of Protected Health Information form to release medical records. Here's the key detail: the form must be notarized if patient authority and consent cannot be properly verified. If there's any chance the facility won't be able to confirm consent based on what you provide, get the form notarized before submitting. It'll save you time.
Once your form is complete, submit it by personal delivery or mail to the John E. Polk Correctional Facility at 211 Eslinger Way, Sanford, FL 32773. If you're mailing it, double-check that everything is filled out and signed before it goes out. Missing information slows things down.
- ✓ Fax the ROI to (407) 665-1236
- ✓ Email the ROI to inmatemedicalrecords@seminolesheriff.org
The authorization doesn't last forever. It expires one year from the signature date unless you specify a different expiration date or event on the form. Need the release valid for a different timeframe? Update the expiration section before you submit.
Practical Checklist
- ✓ Use the Authorization for Release of Protected Health Information form for the request
- ✓ Sign the form, and get it notarized if patient authority and consent cannot be properly verified
- ✓ Submit it by personal delivery or mail to John E. Polk Correctional Facility, 211 Eslinger Way, Sanford, FL 32773
- ✓ Or submit it by fax to (407) 665-1236
- ✓ Or submit it by email to inmatemedicalrecords@seminolesheriff.org
- ✓ Confirm the expiration details: the authorization expires one year from the signature date unless another expiration date or event is indicated on the form
- ✓ Keep a copy of what you submitted (and note the date), so you can reference it later if you need to follow up
- ✓ Double-check for common delay triggers: missing signature, or missing notarization when it’s required
Note: If patient authority and consent can't be properly verified, the form must be notarized. Getting this done before you submit is the easiest way to avoid a rejected or delayed request.
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