Request for PHI – Patient
Patients who would like to request access to their Protected Health Information/Medical Records may contact Ambulance Billing Customer Service Department at 727-582-2008.
Patients can mail or fax in their request. The below Request for PHI Patient Form must be completed and returned to the address provided.
Ambulance Billing Customer Service
P.O. Box 31074
Tampa, FL 33631-3074
For patient representatives, attorneys, or other agency requests for Protected Health Information/Medical Records please visit the Request Medical Records for Ambulance Services page.