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