Copies of your health records will be provided upon written request and for a reasonable fee.

To request copies of your medical records, please complete the attached authorization form and mail or fax with a copy of your driver’s license to the address below. Be sure to include your telephone number, so we can contact you.

The Woman’s Hospital of Texas
Attention: HIM Release of Information
8101 W. Sam Houston Parkway South, Suite 100
Houston, TX 77072
Phone: 855-519-9682
Fax: 855-519-9683

View and Print the Authorization Form