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Release of Information

The authorization for Release of Information must be completed and faxed, emailed or hand delivered to the hospital for copies.

Address: 2809 S Mayhill Road, Denton, TX 76208
Fax: 940-239-3032
Attention: Medical Records

We cannot release records via email. The form is to assist you in obtaining records. To protect our patient’s confidential information we require photo identification, before releasing any documents.

The authorization will expire in 180 days from the date of the signature. Be sure to list specific information needed to help us better serve you. Please allow 14 days from receipt of request once the record is complete. Be sure to indicate the method of receipt; mail or pickup.

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