Patient Forms

For your convenience, common patient forms can be viewed or printed in advance of your visit.


Medical Records


Patient records are held in a digital format and aggregated into an Electronic Health Record (EHR).

Electronic Health Records bring many benefits:

  • Secure and private
  • Accessible at all locations
  • Files unified for complete record
  • Environmentally sound

If you want to get a copy of your medical records fill out this form.

Transferring Records

Medical records can be transferred to Texas Regional Clinic by sending your current provider a completed authorization form. Use the Medical Records Release form found in the Patient Forms section.

Fax completed form to: 713.984.8481

Please mail completed form to: 8301 Katy Fwy • Suite 101 • Houston, TX 77024