Medical Records Request

Copies of your records and podiatric X-rays will be provided upon signed written request by you or your legal representative. A nominal fee is charged for records request.

The Foot and Ankle Institute Partners with Verisma for medical records request. You can submit a medical records request form to Verisma at

Fax: 267-940-7871 or Email: templecs@verisma.com or mail or hand deliver to 148 N. 8th St. Philadelphia, Pa. 19107 Attention: Melissa Carcifi Diaz