Medical Records Requests
To request a copy of your medical records:
Download our Authorization to Use and Disclose Protected Health Information.
- For Grace Medical Center®, Download in PDF
- For Grace Clinic®, Download in PDF
Complete form with a signature and date.
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
- Please allow at least 21 business days for processing.
Patients and Healthcare Providers:
- Contact Grace Health System®: 806-788-4030.
All other requestors:
- Contact our release of information service provider, BACTES, at 1-800-560-3800.