Electronic Requests:

We are now partnered with Datavant, which allows for a seamless process to request new patient records and provide records to patients transferring out of the practice.

• All medical record requests submitted will be handled based on priority level. Please allow 5 to 10 business days for processing. If you require immediate assistance, please call us directly, and we will assist you.
• If you are joining our practice, we will schedule your new patient appointment and require a copy of the shot record in advance. Please complete the medical release form by selecting one of the links below to begin the process of obtaining records.
• If you already have your previous records, please email them to sendrecordstophca@pedialliance.com and include your contact information. 

In Spanish: 

Ahora estamos asociados con Datavant, lo que permite un proceso fluido para solicitar registros médicos de nuevos pacientes y proporcionar registros a los pacientes que se están transfiriendo fuera de la práctica.

Por favor, complete el formulario de autorización médica seleccionando uno de los enlaces a continuación para iniciar el proceso de obtención de los registros médicos anteriores.

Los enlaces en español se encuentran en la casilla de Información del Paciente a continuación.

In-Person Requests:

All in-person requests will be handled by the office. If you need a copy of your immunization record, you may download it from the patient portal or stop by one of our offices to obtain a printed copy.

If you are requesting records for your personal use, please click on the link below to submit a request to the Central Medical Records Department.

Additional Request Types:

• New patients establishing care
• Patients transferring out of the practice
• Court-ordered medical record requests
• Special record requests (e.g., for specific dates of service)
• Specialist requests (Referrals)
• Disability requests
• Insurance audits

Central Medical Records information:

P: 813-278-7858

F: 813-768-0700

Medical records release to PHCA

Medical records release from PHCA

When completed please fax medical release form to 813-768-0700

Please include your contact information so that we can call you to schedule your appointment.