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Medical Records Request

To request a copy of your medical records, please download the form here

It is highly recommended that the patient requesting records hand deliver this form to the clinic site where they were seen, otherwise significant delays in obtaining records will likely be experienced due to lack of resources during normal business hours.  

If this cannot be done, please mail the form to Equal Access Clinic, Records Request, PO Box 100211, Gainesville, FL 32610.  Please include a copy of an official government issued photo ID.  Also, please include a note stating the location of the clinic site or sites the patient has visited.