See below to download patient forms to print out and complete before your appointment at an HCA Houston Healthcare location.

Paper Copy of Medical Records:

Please complete the following steps to obtain a paper copy of your medical records:

  1. Print and complete the Medical Records Release Form.
  2. Complete, sign and date the form. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver’s license, military I.D. or state I.D.).
  3. Mail, fax or personally deliver your paperwork to the facility where you were treated.

Medical records contact information

HIM Shared Services – Centralized Release of Information

8101 W. Sam Houston Pkwy S.
Houston, TX 77072

Phone: (855) 519-9682

Fax:  (855) 519-9683

Email requests


For further information or assistance call (855) 519-9682.


Download Forms


Medical Records Release

English

Spanish

HCA Houston Healthcare Southeast


Multi-Specialty Clinic