Mailing the form to Florida Medical Clinic Medical Records Department 2150 Via Bella Blvd. Land O Lakes FL 34639. Faxing the form to 813.355.5896. Emailing the form to HPROI@floridamedicalclinic.com. In-person at your doctor’s office. Fill out and submit form below. If you have questions, please call our medical records department at 813.778 ....