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Bay Pines VA Healthcare System

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Request Your Medical Records

Our Release of Information staff will be happy to assist you with requests for your medical records. We also assist providers with completing forms for patients.

We can assist you with the following:

  • access to your medical records
  • obtaining copies of your medical records
  • requests to amend your medical records
  • completion of forms for benefits, insurance, and other reasons

The Release of Information Staff are the experts in our patients' rights and their medical records.

How to Request Information

To request a medical record, please print one of the forms listed in the column to the right, complete the requested information, sign the form, and mail it to the following address -

Bay Pines VA Healthcare System
Business Office Service
Release of Information (16A1), building 100, 1E-301
PO Box 5005
Bay Pines, FL 33744-5005

Lee County Healthcare Center
HIMS-Release of Information Dept. (16LC)
2489 Diplomat Parkway East
Cape Coral, FL 33909

(NOTE: Both offices are open Monday-Friday from 8:00 a.m. - 4:00 p.m.)

Because forms must contain an original signature, e-mailed forms cannot be accepted.

Requests for records may take approximately 20 days to process. Any delays in processing your medical records request will result in a letter being sent to your address on file. You may contact the Release of Information Department if you have not received your records in a timely manner either in person or by telephone.


There is no charge for an initial complete medical record request. Duplicate requests may incur associated costs depending on the number of pages to copy. For additional questions, please contact the Release of Information Department.

Access to Records through MyHealthevet

You may have full access to your medical records by logging-on to  Any member of your care team will be able to assist you with MyHealthevet access.


C.W. Bill Young VA Medical Center
Release of Information Office
Building 100, first floor, room 1E 303
727-398-6661 Ext. 12537

Lee County Healthcare Center
Release of Information Office
Room 4A-115
239-652-1800 Ext. 21211