7515 South Main Street, Suite 240
Houston, TX 77030
Phone: (713) 791-9966
Monday–Friday: 8 a.m.–5 p.m.
Friday: 8 a.m.–4 p.m.
Medical Records Request
Please contact us at 713-791-9966 to request records. A minimum fee of $25.00 applies. You may download the release form here:
You may use the following form to upload and send the completed document: