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 | Download in RTF
- For Grace Clinic®, Download in PDF | Download in RTF
- 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 7 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.