Patient Request for Information Form:
If you would like to view records, patients can fill out the form below to have the information mailed to or picked up by the patient.
Request For Access to Protected Health Information Form
Information Release Authorization Forms:
If you u wish to authorize someone other than the patient to records, fill out one of the forms below.
Authorization for Release of Information HFM (5160_0)
Authorization for Release of Information HCHS (5161_0)