Document Request

Requirement(s) to Release Information

SCARF MUST have a signed copy of “Authorization To Release and Disclose Patient Healthcare Information” on file from the client, specifying you the individual/organization are allowed to receive by mail copy(s) of specific documents.

You can find a blank copy of the client release of information form by clicking on FORM.

If you have previously requested information and have not received it, please contact our office and asked to speak with SCARF’s Compliance Officer at:  321-236-1540

Client Record Request























  • Date Format: MM slash DD slash YYYY

  • Drop files here or

    Accepted file types: jpg, gif, png, pdf, doc.

    Authorization to release and disclose patient healthcare information must be uploaded or on file to release information
  • This field is for validation purposes and should be left unchanged.


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