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
Phone: 727-582-2008
Fax: 727-582-2021
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.