DHR health has the form available online or the form can be sent to you via fax or postal services. Call (956) 362-3451 for assistance. You may complete the form and send back via fax to (956) 362-3450 or postal services:
- Fax: 956-362-3450
HIM - Release of Information
101 Paseo Del Prado
Edinburg, TX 78539
The requested copies of medical records shall be furnished by the hospital/physician within 15 days after the date of receipt of the request and resonable fees for furnishing the information.
Please return the form with a copy of the patient’s driver’s license or government issued ID. Any individual who is authorized to receive the records on behalf of the patient will also be required to present a copy of ID.