Quickly and securely request your medical records online by filling out the form—available in English and Spanish. Click below to get started.
Download, complete and submit the form below to the records department at the medical center where you received care. Please remember to attach a copy of your photo ID to any forms you submit.
Located on the 2nd Floor
Attn: Release of information Unit/Medical Records Dept.
1600 S. Andrews Ave.
Fort Lauderdale, FL 33316
Fax: 954-468-5280
Located on the 1st Floor
Attn: Medical Records
Broward Health North
201 E. Sample Road
Deerfield Beach, FL 33064
Fax: 954-786-2320
Located on the 1st Floor
Attn: Medical Records
Broward Health Coral Springs
3000 Coral Hills Drive
Coral Springs, FL 33065
Fax: 954-344-3149
Located on the 1st Floor
Attn: Medical Records
Broward Health Imperial Point
6401 N. Federal Highway
Fort Lauderdale, FL 33308
Fax: 954-776-8594
1601 S Andrews Ave #118
Fort Lauderdale, FL 33316
Fax: 954-767-8347
2300 N Commerce Pkwy,
Weston, FL 33326
Diagnostic Imaging Center
Fax: 954-217-5778
Women’s Center
Fax: 954-217-3201
Urgent Care
Fax: 954-217-5704
It takes approximately 3 business days from the date we receive your request for completion.
If the records are stored off site additional processing may be required. For any other areas, please contact urgent care, health centers & doctors' offices directly.