We require at least 72 hours notice to fulfill requests for medical records. We must have a signed Authorization Form for Release of Protected Health Information on file in order to release information.

Please feel free to download the Authorization Form for Release of Protected Health Information and return a signed copy to our office:

Email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Fax: (512) 472-9898

Medical Release Form