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.

Questions

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.