Authorization for Release of Protected Health Information
>> Spanish version
For BCM Neurology to receive your medical records, an Authorization for Release of Protected Health Information form must be submitted by you. Please download and print the form that is listed by neurology group or by individual clinical faculty members. Forms in English are also available.
Listed by Group
- Alzheimer's Disease and Memory Disorders Center (ADMDC)
- Electromyography Laboratory (EMG)
- Comprehensive Epilepsy Center and Sleep Clinic (CECSC)
- General Neurology
- Multiple Sclerosis Comprehensive Care Center (MSCCC)
- Neurocognition (NC)
- Center for Neurodegenerative Disorders (CND)
- Neurogenetics Clinic (NGC)
- Neuromuscular Disease Center (NDC)
- Neuropsychology (NP)
- Neurovascular and Critical Care (NVCC)
- Parkinson Disease Center and Movement Disorders Clinic (PDCMDC)
- Parkinson's Disease Research, Education and Clinical Center (PADRECC)
Listed by Clinical Faculty
Eric M. Bershad, M.D.
Major R. Bradshaw, Ph.D.
David K. Chen, M.D.
Rachelle S. Doody,
M.D., Ph.D.
David E. Friedman, M.D.
Alica M. Goldman, M.D., Ph.D.
Yadollah Harati, M.D.
Richard A. Hrachovy, M.D.
George J. Hutton, M.D.
Joseph Jankovic, M.D.
Mary M. Kenan, Psy.D.
James M. Killian, M.D.
Eugene C. Lai,
M.D., Ph.D.
Eli M. Mizrahi, M.D.
Dennis R. Mosier,
M.D., Ph.D.
Nicolas M. Nammour, M.D.
William G. Ondo, M.D.
Victor M. Rivera, M.D.
Susan Rountree, M.D.
Paul E. Schulz, M.D.
Adriana M. Strutt, Ph.D.
Jose I. Suarez, M.D.
Kinga Szigeti, M.D.
Eroboghene E. Ubogu, M.D.
Michele K. York, Ph.D.