If you are requesting medical records as a third party ( another healthcare provider, law firm, health insurance provider, government entity etc.) please follow these steps to submit your request
Gather a copy of your request letter and other documents supporting your request (e.g., patient authorizations, court order).
If you need the Patient Authorization Form, you can download a copy here.
Submit your request along with a properly executed authorization and supporting documents by:
Submit your completed form and any required documents by:
We will reach back out to you if we need clarification or additional information.
For more help, check out our FAQs or call us at 817-421-4700
By submitting a request, you agree to our Terms & Conditions and Privacy Policy.
Unauthorized access, use, or distribution of protected health information (PHI) is strictly prohibited and may be subject to penalties under HIPAA and applicable state law.
