By completing this form, you are submitting a written request for access to the PHI of the designated individual. Download, print and complete the authorization form.The authorization form must be signed and dated. To receive a copy of your medical record, you can complete the authorization form and submit via fax or mail to any of the facilities listed below. Complete new patient forms in advance. Please select and print from the options below, fill them out completely and bring them with you to your appointment. Please download and fill out any of these necessary forms to obtain your medical records. Authorization for Release of Behavioral Health Records. Purpose. To obtain an individual's authorization to release medical information to: the Texas Health and Human Services Commission (HHSC).