Records Requests
To request a copy of your or your child’s medical and/or mental health records, please complete an authorization to release information form.
Authorization to Release Information Form
return it to any clinic in person (preferred)
mail it to PO Box 925, Galveston, Texas 77553
fax it to (409) 765-5026
or email it to records@teenhealthcenter.org
Contact Us
Feel free to contact us with any questions, comments, or concerns.
This form is not encrypted or HIPAA compliant. Do not use this form to send personal health information.
(409) 761-3530
PO Box 925
Galveston, TX 77553