Medical Records Request

Request a Copy of My Medical Records

In keeping with Florida law, the Healthcare Network retains patient medical records for at least seven years. As a patient, you have the right to request a copy of your medical record. Click on the appropriate link below to access the authorization form. Please be sure to follow the instructions and complete the form in its entirety.

Please Note: If you are acting as a legal representative for a patient (for example, a custodial parent of a minor, court-appointed guardian, executing a Power of Attorney, etc.), you may be required to submit supporting documentation to complete the request.

Contact Us

If you have any questions or need assistance completing the request, please get in touch with us.

Healthcare Network
1454 Madison Avenue
Immokalee, FL 34142

Offices Closed 12.9.23

All Healthcare Network offices will be closed on Saturday, December 9. Normal hours will resume on Monday, December 11.

 

Todas las oficinas de Healthcare Network estarán cerradas el sábado 9 de diciembre. El horario normal se reanudará el lunes 11 de diciembre.

 

Tout biwo Healthcare Network yo ap fèmen samdi 9 desanm. Lè nòmal yo ap rekòmanse lendi 11 desanm.

Offices Closed 11.23 & 11.24.23

All Healthcare Network offices will be closed on Thursday, November 23 & Friday, November 24 in observance of the Thanksgiving holiday. Normal hours will resume on Monday, November 27.

 

Todas las oficinas de Healthcare Network estarán cerradas el jueves 23 y viernes 24 de noviembre en conmemoración del feriado de Acción de Gracias. El horario normal se reanudará el lunes 27 de noviembre.

 

Tout biwo Rezo Swen Sante yo ap fèmen jedi 23 novanm ak vandredi 24 novanm nan jou fèt Thanksgiving. Orè nòmal yo pral rekòmanse lendi 27 novanm.

Help Us Grow a Healthier Community from the Ground Up!

Help Us Grow a Healthier Community from the Ground Up!
A year-end gift in support of this exciting new health center will help us provide an abundance of essential healthcare to the Orangetree community, helping cultivate a healthy thriving community!

¡Ayúdenos a desarrollar una comunidad más saludable desde cero!

¡Ayúdenos a desarrollar una comunidad más saludable desde cero! ¡Una donación de fin de año a Healthcare Network en apoyo de este nuevo y emocionante centro de salud nos ayudará a brindar abundante atención médica esencial a Orangetree, cultivando una comunidad saludable y próspera!

Ede nou devlope yon kominote ki pi an sante apati de tè a!

Ede nou devlope yon kominote ki pi an sante apati de tè a! Yon kado nan fen ane pou sipòte nouvo sant sante enteresan sa a pral ede nou bay Orangetree yon abondans swen sante esansyèl, pou kiltive yon kominote ki an sante ak pwospere!