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

English Spanish

Vietnamese

Mandarin Arabic

Psychotherapy Notes

English Spanish

Return forms

E-mail Address

medical.records@integralcare.org

Mailing Address

Integral Care Medical Records Department

P.O. Box 3548

Austin, Texas 78764-3548

Fax

512-445-7726