Patient Records Request

Our practice is now permanently closed. However, we remain committed to ensuring you have continued access to your personal health information.

For your privacy and security all requests for records must include a signed authorization and verification of identity in accordance with HIPAA regulations.

Important: To help expedite your request, please Download the Records Release Form. Once completed and signed, please take a clear photo of the document and text it to (813) 697-2344.

Additionally, please complete the online form below to immediately notify us of your request for patient records.