Medical Records

EACN Medical Records Request Form

This is only for the Equal Access Clinic Network – the free student run clinic network in Gainesville.

This form can be delivered to any of our care coordinators at clinic or mailed to the office addressed 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.

Note: These records are different from any UFHealth Medical Records. Request UFHealth Records.