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Medical Records Request

Medical records are available to ENT Associates patients over the age of 18 or a legal guardian and are protected by federal HIPAA regulations.

Only ENT Associates medical records are obtainable with this request form. To request a copy of your medical records to be sent OUT FROM our practice, simply fill out this online form, or download and return the form below. Your information is 100% secure and will be handled by our HIPAA compliant form protocol and can only be accessed by our staff via an encrypted, password-protected login.

Please allow five (5) business days for your request to be processed. If you have any questions, please feel free to call our office at 727-441-3588 and follow the prompts to reach our Medical Records Request helpline.

IMPORTANT NOTICE: As stated, only ENT Associates records are obtainable with this request form. DO NOT USE this form to request assistance obtaining medical records from other physician offices. Thank you.

Download the Medical Records Request Form


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Contact Us

ENT Associates Main Office

Address:
1330 South Fort Harrison
Clearwater, FL 33756

Phone: 727-441-3588
Fax: 727-461-1038

Hours of Business: 8:00AM - 5:00PM

Extended Hours:
St. Petersburg until 6:30PM (Tue Only)
Countryside until 6:30PM (Thu Only)

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Copyright 2016 ENT Associates