Medical Records

In order to obtain medical records fill out this form along with a copy of your drivers license and fax it to our office at 352-627-4291 or you may drop the form off at any of  our clinic sites. Please call our office at 352-273-5329 ext 2 with any other questions.

UF-PHI-Disclosure-Form

If you would like to scan or take a photo of the completed page and then email it to us, please also complete the release form allowing us to communicate with you via email:

Electronic Communication Release Form