GI Associates of SW Florida

Requesting Medical Records

Do you want our office to release your records? 

Pursuant to the Health Insurance Portability and Accountability Act (HIPAA) patients may request a copy of their own medical records. We will be happy to provide medical records as requested. Please complete the  Release Information Form  and return it to our office.  

Fax requests to (239) 275-5251 or hand deliver/mail to: Gastroenterology Associates of SW Florida, PA Attention: Medical Records Request 4790 Barkley Circle, Building A Fort Myers, FL 33907

Our  privacy notice is available to review upon request.

If you are unable to obtain the Release of Information Form or Privacy Notice using the link above, please pick up a copy at one of our offices or call us and we will mail you a copy.

Personal health records are also available for viewing or downloading via the patient portal. Visit your portal today at

How would you like to receive your records? ​

Gastroenterology Associates will disclose your health records via US Mail or via patient web portal. Authorized individuals may also pick up copies at our main office location if they so desire. Records can also be downloaded to disk or memory stick. 

We encourage our patients to register for the patient portal.  The portal provides our practice the means to send records very quickly in a secure fashion. 

The disclosure of records should only be faxed when mailing would not meet the immediate needs of patient care. Faxing is discouraged in situations where time is not of the essence, but it is permissible as long as you consent to the fax transmission. If possible the authorization signed by the patient should mention that the records are to be released by fax and that there are inherent risks in faxing records.

Will there be a charge for my records?

In keeping with the Office for Civil Rights Guidance our practice is posting the following fees for Access Requests by patients. Requests for medical records through valid Authorizations are based on the state approved rates.

Under the following circumstances, there will be a charge for processing your records request:    •Patients who request large amounts of records (11 pages or more)         •Patients who transfer to another Gastroenterologist  •Patients who move out of state                                                                        •State of Florida Disability / other State Disability requests  •Attorney's Request                                                                                       •Clerk of Court Subpoena's  •Insurance Companies / Life Insurance                                                    •Third Party Vendors


A bill will be sent to you by Sharecare Health Data Services formerly "Bactes". All billing inquiries must be made directly to Sharecare Health Data Services. Most medical records request are processed and handle by the company "Sharecare Health Data Services". There is a standard fee of $1.00 per page, plus shipping and handling fees. A properly signed medical records release will be required in order to get the copy of your medical records. If you have any questions about your request or about the bill you received call Sharecare Health Data Services formerly Bactes at 1-866-602-5677 or visit their website 


Paper Copies:

  • 1 to 10 Pages – No Charge
  • For records of 70 pages or less we charge a flat fee of $6.50.

Electronic Records:

  • Records requests to be placed on a CD: a flat fee of $6.50.
  • Films and Other Non-Standard Paper Requests

Portal Requests:  FREE

  • Remember many of your records can quickly and accurately be accessed on your patient portal. Ask our staff how to access your records today. There is no charge for portal access to your records. Click  here  to go to the portal login at "My Health Record"

You must sign a request to release information before any records can be disclosed. You must obtain, complete and sign the designated form. This form can be obtained by the following methods: 
•A blank form can be retrieved from our website.
•A blank form can be mailed to the patient       
•A blank form can be faxed to the patient
•A blank form can be picked up at our office.

  • There will be no charges or fees applied for any request from a "Covered Entity" for Treatment, which means a request from the Primary Care Physician, Referring Doctor, Surgeon or Specialist, Hospital or other Medical Facility that is treating the patient. 
  • Should the above pricing for copies to medical records present a financial hardship, please let our office know.

    *Our practice uses Average Costing to determine labor costs. The Average Fee Labor Cost Worksheet of our charges is available from our HIPAA Compliance Officer.

    **Please note that in order to protect our patient's privacy and security we are unable to accept personal thumb drives or other portable media. 

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