skip navigation
Pecos County Memorial Hospital
387 West IH-10
Fort Stockton, TX 79735
432-336-2004
facebookyoutube

SERVICES

FIND A PHYSICIAN

Find A Physician at Pecos Memorial Hospital
Normal text size Decrease text size Increase text size View printable version of this page E-mail this page

Medical Records


The purpose of Release of Information is to provide copies of patient records to various requester (i.e. patients, attorneys, insurance companies, etc.) for varied reasons.



When writing to obtain copies of records, please provide us with the following information:




Please understand that requests that are sent electronically will still require a signature in order to honor the request.



The Release of Information will not provide records without a written request by the patient, the parent of a minor patient, or a legal representative. After the request is received, the HIM clerk will contact you and validate your request. Questions on this process can be directed to himclerk@pcmhfs.comSigned PDF forms can be faxed to 844-315-6521.



Electronic Release of Medical Records Form


Click here for a PDF copy of the Authorization to Release Medical Records.