Please click the button below to download your medical records request form.
Once completed you can print and email the request form to firstname.lastname@example.org for processing.
You or your representative, with proper identification, would have to come in person into our Sugarland office and pick up the records in person. Please allow 30 days for processing of the request
The medical records request form is a PDF file. To download and print the form, you'll need the free Adobe Acrobat Reader program.