Capital Medical Clinic :: Austin, Texas (TX) :: Clinic Hospital 2026

1. Click ‘Get Form’ to open the Medical Records Release form in the editor.
2. Begin by filling in your personal details. Enter the patient’s name, date of birth, social security number, and phone number in the designated fields.
3. Specify the records you need by indicating specific dates or conditions in the provided space. This ensures that you receive the exact information required.
4. Select how you would like to receive your records. You can choose to have them mailed or emailed by checking the appropriate box and providing the necessary address details.
5. If someone else is picking up your records, fill in their name in the designated area.
6. State your reason for requesting these records as required by Texas Occupational Code.
7. Finally, sign and date the form at the bottom. If applicable, include your relationship to the patient if you are signing on their behalf.

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