Request Medical Records

You may obtain your medical records by following these simple steps:
Download Request Medical Records form here.

  1. Open and print the PDF form. Click here if you need to install Adobe Reader.
  2. Fill-Out the form
  3. You can either fax the form to the following:

Suite C – Dr. Hughes, Dr. Herrema, Zachary Serbu, PA-C, Dr. Howell, Zachary Serbu, PA-C (Fax #) 727-216-0203
Suite D – Dr. Piazza, Dr. Davidson, Dr. Marcotte or Dr. Venezia Fax #) 727-442-8804

If you would like to request your medical records via e-mail, please e-mail your request to or call our Medical Records at 727-446-5993 (x 123).

Or bring the completed form by the office.

If you have any questions or would like to request your medical records via our patient portal do so by entering above on the Patient Portal tab. Please allow 3 -5 days for your records to be available for pick-up.