Medical Records Requests

To request a copy of your medical records:

  1. Download our Authorization to Use and Disclose Protected Health Information.
    - For Grace Medical Center®, Download in PDF
    - For Grace Clinic®, Download in PDF

  2. Complete form with a signature and date.

  3. Submit form to Grace Health System® via fax or mail.
    For Continuation of Care – FAX: 806-788-4284
    All other requestors – FAX: 806-686-3354

    MAIL: Grace Health System®
    Attn: Medical Records
    2412 50th Street
    Lubbock, TX 79412

  4. Please allow at least 21 business days for processing.


Patients and Healthcare Providers:

All other requestors:

  • Contact our release of information service provider, BACTES, at 1-800-560-3800.