Medical Records Request

Patients that have received care at Physicians Regional Healthcare System may request copies of their medical record by completing the AUTHORIZATION FOR RELEASE, USE AND DISCLOSURE OF HEALTH RECORDS form (available below) and faxing it to the Health Information Management office at (239) 304-5196.

Download the AUTHORIZATION FOR RELEASE, USE AND DISCLOSURE OF HEALTH RECORDS form »

Health Information Management Hours
Monday through Friday from 8:00 a.m. to 5:00 p.m.
Phone: (239) 304-5080
Fax: (239) 304-5196