At StarMaris Advanced Psychiatry Care LLC, we make it simple for patients to request access to their medical records. To help us process your request securely and efficiently, please complete the steps below.
Download the Authorization to Use and Disclose Protected Health Information form using the button below.
Fill out all required sections of the authorization form carefully.
Please remember to:
Missing information may delay your request.
A clear copy of a valid government-issued photo ID must be submitted with your authorization form.
Accepted identification may include:
Send your completed authorization form together with your photo identification to StarMaris Advanced Psychiatry Care LLC.
StarMaris Advanced Psychiatry Care LLC
5000 West Colonial Dr
Orlando, FL 32808
Phone: 407-616-1691
Office Hours:
Monday – Friday
9:00 AM – 5:00 PM
Once we receive your completed form and identification, our team will review your request and begin processing it in accordance with applicable privacy and medical-record requirements.
To avoid unnecessary delays, please confirm that:
Fees may apply depending on the type and format of records requested.
If a fee applies, our office will provide the amount and payment instructions before payment is required.
For current fee information, please contact our office at 407-616-1691.
When payment is required, our team will provide instructions for completing payment.
For questions about fees, payment, or the status of a records request, please contact us during normal business hours
Your medical records contain confidential health information. StarMaris Advanced Psychiatry Care LLC takes appropriate measures to protect the privacy and security of your information in accordance with applicable federal and state requirements.
Please avoid sending sensitive medical information through unsecured communication channels unless specifically instructed by our office.
If you need assistance completing your authorization or submitting your request, please call 407-616-1691.
Ready to submit your request?
Download and complete the required authorization form, then return it with a copy of your valid photo identification.