Records Release Form

Please click the button below to download this form. Before we can transfer all patient chart records we need to have a signed copy of this form in our office. Thank you.

Download the PDF

If the above button doesn’t work use this LINK.


TUE: 9:00 am – 5:00 pm

WED: 9:00 am – 5:00 pm

THUR: 9:00 am – 5:00 pm

SAT: 9:00 am – 3:00 pm

Other appointment times available by request.

Find Us

252 W. Stonebrook Pkwy
Suite 690
Frisco, TX 75034

Contact Us

Tel: 469.384.8130
Fax: 469.384.8134