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South Florida Health Care Centers | NSU

Health Records & Release of Information

The NSU Health Care Centers are committed to protecting the privacy of your health information. You or your personal representative, may inspect and/or obtain a copy of your health records, or have copies of the health records sent to another healthcare facility. To safeguard your privacy, you or your personal representative will be required to complete and sign an Authorization for Use and Disclosure of Protected Health Information Form before the NSU Health Care Center releases your health information.

How to Start a Request for Your Health Records

Obtaining a copy of your health records, or having the health record sent to another health care facility, is easy. To start your request, simply download, print, complete and sign the applicable NSU Health Care Center Authorization for Use and Disclosure of Protected Health Information Form (“Authorization Form”) listed below.

Please be sure to complete all sections on the Authorization Form, including your signature. Unsigned requests cannot be processed, and failure to provide all the information may invalidate the request. Our Health Records Department staff will be happy to assist you with any questions you may have regarding the Authorization Form. The telephone number for each NSU Health Care Center Health Records Department is listed below for your convenience.

Step 1: Please download, print, complete and sign the applicable NSU Health Care Center Authorization for Use and Disclosure of Protected Health Information Form (“Authorization Form”).

Click on the applicable NSU Health Care Center Authorization Form below:

Step 2: Drop off, mail or fax the above referenced Authorization Form to the applicable NSU Health Care Center Health Records Department:

  • Drop off the applicable Authorization Form at any NSU Health Care Center registration desk. Include a copy of a Valid Photo ID (passport, driver’s license, or state ID). Note that a copy of a Valid Photo ID is required before processing.
  • Mail the applicable Authorization Form to the NSU Health Care Center’s Health Records Department listed below. Include a copy of a Valid Photo ID (passport, driver’s license, or state ID). Note that a copy of a Valid Photo ID is required before processing.
  • Fax the applicable Authorization Form to the NSU Health Care Center’s Health Records Department listed below. Include a copy of a Valid Photo ID (passport, driver’s license, or state ID). Note that a copy of a Valid Photo ID is required before processing.

Health Record Departments

To request and obtain your health records, contact us in person, mail, phone or fax, Monday through Friday, from 8:30 am to 5:00 pm: 

Nova Southeastern University (Main Campus)
Audiology Clinic
Ziff Health Care Center
3200 S University Drive
Fort Lauderdale, FL 33328
Attn: Health Record Department
Telephone: 954-262-7750
Fax: 954-262-3987

Nova Southeastern University (Main Campus)
Dental Health Care Center
3200 S. University Drive
Davie, FL 33328
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University (N. Miami Beach Campus)
Dental Health Care Center
1750 NE 167th Street
N. Miami Beach, FL 33162
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University
Cypress Creek Dental Center
1201 West Cypress Creek Road, Suite 201
Ft. Lauderdale, FL 33309
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University
Joe DiMaggio Children’s Hospital
Memorial Medical Office Center
Cranio-Facial Pediatric and Special Needs Dental Center
1150 N. 35th Avenue
2nd Floor, Suite 220
Hollywood, FL 33021
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University
Broward General Medical Center Oral and Maxillofacial Surgery Dental Health Care Center
1600 S. Andrews Avenue
Ft. Lauderdale, FL 33316
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University
JDCH Center for Cranio-Facial Pediatric and Special Needs Dental Clinic
3501 Johnson Street
2nd Floor, Suite 200
Hollywood, FL 33021
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University
Dental Health Care Center
Kids in Distress
819 NE 26th Street
Wilton Manors, FL 33305
Attn: Health Record Department
Telephone: 954-262-1854
Fax: 954-262-7164

Nova Southeastern University (Main Campus)
Maltz Psychology Building
3301 College Avenue
Davie, FL 33314
Attn: Health Record Department
Telephone: 954-262-3030
Fax: 954-262-3978

Nova Southeastern University (Main Campus)
Mailman Segal Institute
7600 SW 36th Street
Davie, FL 33328
Attn: Health Record Department
Telephone: 954-262-7122
Fax: 954-262-3744

`Nova Southeastern University
Medicine Health Care Center
Sanford L. Ziff Center
3200 S. University Drive
Davie, FL 33328
Attn: Health Record Department
Telephone: 954-262-4100
Fax: 954-262-3984

Nova Southeastern University
Medical Health Care Center at Covenant Village
West Broward Boulevard
Plantation, FL 33324
Attn: Health Record Department
Telephone: 954-262-4100
Fax: 954-262-3984

Nova Southeastern University (Main Campus)
Student Medical Center
Sanford L. Ziff Center
3200 S. University Drive
Davie, FL 33328
Attn: Health Record Department
Telephone: 954-262-4100
Fax: 954-262-3984

Nova Southeastern University (Main Campus)
Sports Medicine Clinic
3301 College Avenue
University Center, Room 1433
Davie, FL 33314
Attn: Health Record Department
Telephone: 954-262-5590
Fax: 954-262- 5970

Nova Southeastern University
Institute for Neuro Immune Medicine
Kendall Village Center
Professional Arts Bldg. Suite 111
8501 SW 124th Avenue
Miami, FL 33183 
Attn: Health Record Department
Telephone: 954-262-2850
Fax: 954-262-3850 

Nova Southeastern University (Main Campus)
Institute for Neuro Immune Medicine
Center for Collaborative Research Building
3321 College Avenue, Suite 405
Fort Lauderdale, FL 33314
Attn: Health Record Department
Telephone: 954-262-2850
Fax: 954-262-3850

Nova Southeastern University (Main Campus)
E.M. Papper Laboratory
Center for Collaborative Research Building
3321 College Avenue, Suite 490
Fort Lauderdale, FL 33314
Attn: Health Record Department
Telephone: 954-262-2850
Fax: 954-262-3850

Nova Southeastern University (N. Miami Beach Campus)
Medical Health Care Center
1750 NE 167 th Street
N. Miami Beach, FL 33162
Attn: Health Record Department
Telephone: 954-262-4100
Fax: 954-262-3984

Nova Southeastern University
College of Optometry – Attn: Health Records
3200 South University Drive
Terry Building #1408
Davie, FL 33328
Telephone: 954-390-7654 ext. 1903
Fax: 954-561-3517

Nova Southeastern University (Main Campus)
Don Taft University Center, Room 1441
3301 College Avenue
Fort Lauderdale – Davie, Florida, 33314
Attn: Health Record Department
Telephone: 954-262-4149
Fax: 954-262-1788

Nova Southeastern University (Main Campus)
University School
3375 SW 75 Avenue
Lower School Building
Fort Lauderdale, FL 33314
Attn: Health Record Department
Telephone: 954-262-4149
Fax: 954-262-1788

Nova Southeastern University (Main Campus)
3200 S. University Drive
Davie, FL 33328
Attn: Health Record Department

Nova Southeastern University (Main Campus)
Maltz Psychology Building
3301 College Avenue
Davie, FL 33314
Attn: Health Record Department
Telephone: 954-262-5797
Fax: 954-262-5743

Nova Southeastern University (Main Campus)
Sports Neuropsychology Program
3301 College Avenue
University Center
Davie, FL 33314
Attn: Health Record Department
Telephone: 954-262-5590
Fax: 954-262-5591

Nova Southeastern University (Main Campus)
6100 Griffin Road
Davie, FL 33314
Attn: Health Record Department
Telephone: 954-262-7726
Fax: 954-262-2847

Request for Health Records – Frequently Asked Questions (FAQs)

Information electronically downloaded through the NSU patient portal is provided at no cost.  If the health records are being released directly to you, your health care provider, or to another health care facility, there will be no charge associated with copying the records. 

For patients only, there is a flat fee of $6.50 for health records requested on an encrypted USB flash drive.  All other fees for health records comply with State of Florida statutes and applicable federal regulations.
Yes, you can review your records even if you do not wish to get copies at that time. You would contact the Health Record Department of the applicable NSU Health Care Center to schedule an on-site appointment. Please keep in mind the Health Records staff would not be able to answer clinical questions. Should you have clinical questions, please contact your NSU health care provider.
No, there is no fee to the patient or the other entity when records are being sent for continued patient care. However, there would be associated fees for records being requested for example attorneys, and disability insurance companies.
Please note, health records must be completed by all health care providers involved in the patient’s care prior to being copied and released to the patient. This process can take up to thirty (30) days. However, our goal is to complete requests for health records within 10 – 15 business days after receiving the signed Authorization Form.  However, records needed for medical emergencies may be faxed directly to a health care provider or medical facility.
We do not fax health records, except in an emergency to another health care provider.
The person who, under Florida law and, consistent with NSU’s HIPAA Privacy Policies, has the authority to act on behalf of the patient in making decisions related to health care provided to the patient (e.g., parent of a minor, a court-appointed guardian). 45 C.F.R. § 164.502(g) (2).
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