Medical Records Request

Medical Records Request

To obtain a copy of your medical record, please download and complete an Authorization for Release form. The form can be emailed, mailed or faxed to the Medical Records department. For questions please contact your local clinic.


Mail to:

Gulf Coast Center
10000 Emmett F. Lowry Expressway, Suite 1220
ATTN: Medical Records
Texas City, TX 77591

Fax: (409) 986-2056