skip to content »

Neurology

Houston, Texas

The Cullen Building at Baylor College of Medicine.
Department of Neurology
not shown on screen

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

Not Sure?

Click here for blank form

E-mail this page to a friend