512-345-4664 [email protected]

Medical Records Release Form

We can request medical records from your other healthcare professionals with your written permission. For a more complete medical history, it helps for us to get reports and other medical records directly from other healthcare providers. Please download and print the form below if you’d like for us to be able to request your records from providers at other clinics.

You can either drop it off in person or you can scan it and send it to [email protected].