Patient Forms

Printable patient forms are available in PDF format, which can be viewed, navigated, and printed from a workstation using the freely available Acrobat Reader software from Adobe Systems Inc. Not all forms are available for download.

Patient Records Telephone Numbers

• Paper Records and/or Radiographic imaging requests (X-Ray, MRI, or CT scan):  (813) 978-9700, ext. 7223
• Patient Records Department main phone number (for other inquiries):  (813) 978-9700, ext. 7060
• Patient Records Department Fax Number: (813) 558-6001

Medical Records Request Forms

For Access To Your Records, please visit our Medical Records page.

Miscellaneous Forms

• Consent to Treatment and Care of Minors
• Disability Forms
• Lifetime Signature Authorization
• Notice of Patient Information Privacy Practices
• Urgent Care Registration Form