Our Patients Are Our Priority

Release (From Memorial)

MEDICAL RECORDS RELEASE CONSENT FORM. This form authorizes patients’ medical records to be released from Memorial Rheumatology. Download & FAX RECORDS TO OUR SECURE FAX: 713-360-2021

Print The Form

Download and print the form using the button to the right and fill it out with pen and paper and return it to our office.
Ubicación

902 Frostwood Suite 315
Houston, TX 77024

Contacto

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Teléfono: 713-360-2020
Fax: 713-360-2021

Horas de oficina
  • Mo – Th
    8 am – 5 pm
  • Fr
    8am – 12 pm
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