Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Gulf Coast Medical Center before sending sensitive documents. FaxFlow is not affiliated with this organization.
Gulf Coast Medical Center fax number
(239) 343-0216
Health Information Management (HIM) / Medical Records
Used for: Medical records request / release of records by fax
Fax destination details
- Department
- Health Information Management (HIM) / Medical Records
- Purpose
- Medical records request / release of records by fax
- Form
- Form 1062 — Authorization for Release of Medical Records
- Address
- 13681 Doctor's Way, Fort Myers, FL 33912
- Voice phone
- 239-424-1340
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Use Form 1062 (Authorization for Release of Medical Records) or the Patient Access Request for Medical Records per Lee Health guidelines; the two forms are described in the 'Which Form Do I Use?' guidance.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
FaxFlow records the public sources found during directory research. A source link is useful evidence, but it is not a guarantee that a number still reaches the same team.
No public source link was saved with this record. Confirm the number directly with the organization before using it.