Medical records and FMLA requests

Fastest option: the healow app

Many visit summaries and lab results are available any time in the free healow app. When the app asks for a practice code, enter JIABCD. Patient portal and app.

Request your medical records

You have the right to a copy of your medical records. To request them:

1. Write a signed requestInclude your full name, date of birth, phone number, which records you need (for example, prenatal records, ultrasound reports, or visit notes from specific dates), and whether you want paper or electronic copies.
2. Say where the records should goTo you, or to another doctor or person. For anyone other than you, include their name, address, and fax number. Our front desk can give you our records-release form.
3. Include a copy of your photo IDWe verify your identity before releasing records.
4. Fax or drop off your requestFax to 866-531-7689, or bring it to Suite 305 during office hours.

Please allow up to 10 business days. We will tell you about any allowed cost-based copy fee before we process your request.

Transferring your pregnancy care to us? Ask your previous doctor to fax your prenatal records, labs, and ultrasound reports to 866-531-7689. How to transfer your care.

Hospital records (for example, from your delivery) come from the hospital, not our office. For HCA Florida University Hospital, see the hospital’s medical records page or call (844) 481-0278.

FMLA, disability, and work forms

We complete FMLA, short-term disability, and work-leave forms for pregnancy, delivery, and gynecologic surgery.

1. Fill in your part firstComplete every section meant for the employee or patient: your name, date of birth, employer, claim number, and signature.
2. Add the key datesWrite your due date or surgery date and the leave dates you are requesting on a note with the form.
3. Send the form to usFax to 866-531-7689 or drop it off at the front desk. If your employer or insurer needs it faxed directly to them, include their fax number.
4. We complete and send itWe review your chart, complete the medical sections, and send the form as directed. We will call you if anything is missing.

Please allow up to 10 business days for forms. Submit forms as early as possible — for pregnancy leave, during your third trimester.