1 Download the authorization form
You'll need to complete a Release of Information (ROI) form. This is your written authorization allowing us to release your records.
Download this Release of Information Form
2 Fill out the form on your device
Open the PDF on your computer and complete all required fields. The form includes fields for your name, date of birth, the type of records you're requesting, and where you'd like them sent.
Save the completed form before moving to the next step.
3 Send the form by efax to your clinic's location
Once your form is complete, efax it to the number that matches your Harbor Health clinic's market. If you're not sure which number to use, check your appointment paperwork or call us at the number on your care team card.
- Austin: 512-323-0307
- Dallas: 469-333-7988
- San Antonio: 915-225-3745
- El Paso: 726-900-4054
Don't have a fax available? Your medical records contain personal health information, so the service you use needs to be secure. We suggest OneFaxNow: it works from any phone or computer, requires no account or subscription, and handles health documents securely (you will need to turn HIPAA mode on which will protect your information during transmission). You pay only if your fax is delivered successfully.
4 We'll process your request
Once we receive your completed authorization form, we'll review it and fulfill your request. Texas law gives us up to 15 business days to respond. We'll follow up at the contact information you provided on the form.
Keep a copy for your records. Before you send, save or print a copy of your completed form. If you need to follow up, having your original submission on hand makes things faster for everyone.