Capital Medical Clinic :: Austin, Texas (TX) :: Clinic Hospital 2025

1. Click ‘Get Form’ to open the Medical Records Release form in the editor.
2. Begin by filling in your personal information. Enter your name, date of birth, social security number, and phone number in the designated fields. Ensure all details are accurate for a smooth processing.
3. Specify the records you need by indicating specific dates or conditions related to your medical history. This helps the clinic understand exactly what information you require.
4. Choose how you would like to receive your records. You can opt for them to be mailed or emailed by providing the necessary address details. Alternatively, you can designate a person authorized to pick up the records.
5. State the reason for requesting your records as required by Texas Occupational Code. This is an important step that ensures compliance with legal requirements.
6. Finally, sign and date the form at the bottom. If someone else is signing on your behalf, include their relationship to you and ensure they also sign.

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