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.


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 to

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

Download Forms

Medical Records Release



HCA Houston Healthcare Southeast

Multi-Specialty Clinic