Main Clinic
3555 Knickerbocker Rd.
San Angelo TX, 76904
(325) 949-9555
(800) 749-9862
Executive Drive Clinic
3605 Executive Dr.
San Angelo TX, 76904
(325) 949-9555
(800) 749-9862
Big Lake Clinic
800 N. Main St.
Big Lake TX, 76932
(325) 884-3743
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Miscellaneous Patient Information

Medical Records Release

To request a copy of your medical records, click on the link below to open and print the authorization form. Complete the authorization form and bring in or fax to our Records Release Office.

All blanks must be filled out. Contact the Records Release Office if you have questions or need assistance when completing the form.

Click Here for a medical records release form to obtain a copy of your medical records.


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