Request Medical Records
Request your medical records from NeuMed Houston quickly and securely. Download the release form, submit payment, and upload your completed request online.
Three steps to get your records
01
Download the release form
Save and print the Medical Records Release Form, then complete it for the patient.
02
Submit payment
Pay the $25.00 records fee securely by credit card. Checks and faxed requests are not accepted.
03
Upload your request
After payment, submit patient details and attach the completed release form. Records are released within 3–5 business days.
Patients and Physicians:
Complete the request form pdf at the link above and then complete and attach to form after payment is completed. Our medical records custodian will contact you when your records are prepared. We are happy to email you your records from our secure portal, or you can pick up a printed copy at our local clinic.
Law Firms and Insurance Companies:
We do not accept faxed requests. We do not accept checks as a form of payment for medical records. The only acceptable form of payment is by credit card.
Our fee for medical and billing records is $25.00. Medical records are released within 3–5 business days of credit card payment.
Click the button below to submit payment. Once payment is submitted, you will be redirected to a page to enter the patient information and submit the medical records request documentation.
Questions about records?
Call our team during clinic hours for help with your request.