Request Medical Records
To request medical records, please download and complete the form below and fax to our secure number 972-283-6204 or email to [email protected].
Have the Authorization to Release Protected Health Information form completed in its entirety by the patient or legally authorized representative and return it to us by faxing it to our secure fax number at 972-283-6204 or by email at [email protected].
We will process your request as quickly as possible once received.
Please note if you are emailing the request back to us, please send it as a PDF file. Any other format corrupts the file and is unable to process.
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