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

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With your generous donation – large or small – you can help improve healthcare access for thousands of children and families in our community.

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Important Update

In observance of Independence Day, all Healthcare Network offices will be closed on Thursday, July 4.

Select practices will be open on Friday, July 5. Call 239.658.3000 for more information.

All offices will be closed on Saturday, July 6.
We will reopen on Monday, July 8.


En conmemoración del Día de la Independencia, todas las oficinas de Healthcare Network estarán cerradas el jueves 4 de julio.

Prácticas selectas estarán abiertas el viernes 5 de Julio. llame al 239.658.3000 para obtener más información.

Todas las oficinas estarán cerradas el sábado 6 de julio.
Reabriremos el lunes 8 de julio.


Nan obsèvans Jou Endepandans lan, tout biwo Healthcare Network yo pral fèmen jedi 4 jiyè.

Pratik seleksyone yo ap ouvri vandredi 5 jiyè. Rele 239.658.3000 pou plis enfòmasyon.

Tout biwo yo ap fèmen samdi 6 jiyè.
Nou pralrelouvri lendi 8 jiyè.