Medical Records

Dear Patient:

Thank you for contacting the Dr. Ralph Rizk Medical Records Department. To better serve you with your request for medical records, Dr. Rizk has partnered with Sharecare Health Data Services.

Sharecare Health Data Services will fulfill your request for records in a safe, secure, and timely manner.

To receive a copy of your records, you will need to complete and return the attached Authorization form. Please make sure you have specific instructions included as to what records you are requesting and where you are requesting records to be sent. You also have a choice of how you would like to have your records delivered. For records to be delivered directly to you, please choose mail or email. For records to be delivered to another doctor, please choose fax or mail. Please select only one option. The fax delivery option may only be used for records going to a doctor. Please mail/fax/drop-off the completed Authorization form to Dr. Ralph Rizk.

If you choose to fax your request, please fax to (904) 619-9925. Please include a copy of your Driver’s License.

If you choose to mail request, please send to:

Dr. Ralph Rizk

Attention: Medical Records

2 Shircliff Way Suite 510

Jacksonville, FL 32204

For Records being sent to Another Health Care Provider

Please provide as much contact information for your other Doctor, including the address, phone & fax.

You can contact a Sharecare Health Data Services representative at any time by calling:

877-820-3914

Thank you,

Medical Records