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Release of Medical Records

If you are transferring your care from a Kelsey-Seybold physician to another physician/provider in the community, that physician/provider can request a transfer of your medical record at no charge.

Optionally, you can call our Medical Records Department at 713-442-5700 and complete an Authorization for Release of Healthcare Information. You may also download a copy of the form here.

When you complete and sign the form and return it to Kelsey-Seybold, you authorize the release of your medical records to the community care provider of your choice. You may return the form in two ways:

  1. By faxing it to 713-442-5732.
  2. By mailing it to:

Kelsey-Seybold Clinic - Meyerland Plaza
Attn: Release of Information Department
560 Meyerland Plaza Mall
Houston, TX 77096.

We make scheduling easy for you

You can schedule appointments through our secure patient portal, MyKelseyOnline, or call our 24/7 Contact Center at 713-442-0427. Virtual Visit options are also available to all new and current patients.