Get Hca Medical Records Release Form

The Department of State Health Services is committed to providing full access to public information. To request records under the Texas Public Information Act: Submit a request in writing via U.S. Mail, fax or email. Include contact information and a clear description of the records you are requesting.

Texas law gives a deadline of 15 business days to provide medical records upon receipt of a request and any agreed upon fees. This same deadline also applies if the physician feels it would be harmful to release copies of medical records to a patient.

I was treated in your office [at your facility] between [fill in dates]. I request copies of the following [or all] health records related to my treatment. [Identify records requested (e.g., medical-history form you filled out; physician and nurses' notes; test results; consultations with specialists; referrals).]

To obtain your own medical records: Print out the Consent to Release of Information form, and complete as many areas as you are able. Bring this completed form to the medical records department, and you can pick up your records.

CereCore provides electronic medical record (EMR) solutions, implementation services, support services and contingent IT staffing for hospitals, outpatient facilities and large physician groups nationwide.

A request for copies of medical records must be in writing, dated and signed by the person making the request, and include a reasonable description of the records sought. If someone is making a request on your behalf, he or she must provide evidence of the authority to receive the records (such as a power of attorney).

For Medical Records and Bill Pay please go to MyHealthOne. For general information please call (281) 348-8000 or refer to our phone directory. For Physician Referral please call (800) 258-5064. For all other requests, please submit your feedback in the form below.

How do I get my medical records? Put your request in writing and send it to the physician's address listed on the physician's Profile on the TMB website. You can also contact the TMB to determine if a custodian of records has been reported.