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Medical Record Request

We are happy to provide you with a copy of your medical record. To request a copy of your medical record, you, or someone you designate, must complete in English or Spanish

In order to protect your privacy, only the patient, parent/legal guardian or the patient's legal representative can sign the form to release medical records.

The authorization form must be legible and complete in order for us to process your request.

You may request the form from your nurse, download in English or Spanish from our website, or contact the Health Information Management department directly at (432) 640-1107.

Return the records request to one of the options below:

Fax Number
(432) 640-1104

Email request MCHSRequests

Mail request to:

Health Information Management (HIM)
500 West 4th Street
Odessa, Texas 79761

Request records in person:
318 North Alleghaney
Odessa, Texas 79761