Contact Us

If you have any questions regarding our services or business. Please fill out and submit this form. If you have any other questions, you can also contact our office via telephone (727)577-2220. Thanks and we look forwarding to assisting you! 


123 Street Avenue, City Town, 99999

(123) 555-6789


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To order films or CDs, please use our online films duplication request form. (Films and CDs must be paid for prior to their duplication.) Alternatively you can order them by phone at 727.577.2220 or by email.

Order Duplicate Films and CDs

Medical Records

To request films and medical records, please email our medical records department or fax a request to 727.577.7230. Please be sure to include the appropriate medical release form with the request.

*Note that there is a cost for reproducing records; an invoice will be included with the records and payment will be due upon receipt.