Medical
records
request

If you would like a copy of your medical records, please complete the form(s) below and return by mail or fax. If you have any questions, please call us at 512-440-4075. We’re here to help.

Authorization for release

Protected Health Information

Psychotherapy Notes

Return forms

Mailing Address
Integral Care Medical Records Department
P.O. Box 3548
Austin, Texas 78764-3548

Fax
512-445-7726

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