Release of Medical Records

The Health Information Management Department is dedicated to safely maintaining your medical records and keeping your health information private. Hours of operation are Monday through Friday, 8 a.m. to 4:30 p.m. We may be contacted for assistance at 832-912-3530. Medical Records needed for medical care may be faxed to your physician. Please complete the authorization form and provide to our office for processing. Please make sure to include the physician’s name, phone number, and fax number. Completed Authorization Forms may be mailed, faxed, or brought to our Department at the following address: North Cypress Medical Center Health Information Management Department 21214 Northwest Freeway Cypress, Texas 77429 Fax Number – 832-912-3778 AUTHORIZATION FORM LINK Copies of your own medical records, those of a minor child, or the medical records of someone for whom you are the legal guardian or hold a Medical Power of Attorney for Healthcare may be requested.   Please note that there may be a charge for your records in Accordance with the Texas Health and Safety Code 241.154(e). IMAGING STUDIES For a CD of your images to bring to another physician, please contact our Radiology Department At 832-912-3053. BILLING STATEMENTS For a copy of your Bill/Statement, please contact Patient Accounts at 832-912-3722.

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