Release of Medical Records
Community Health Network (CHN) is dedicated to maintaining a high level of privacy and confidentiality with all patient records. CHN keeps all health information private and secure in accordance with federal and state regulations.
CHN respects the health information rights of its patients (and their applicable guardians/legal representatives, if any), including the right to access their protected health information.
Requests for the release of medical, dental, behavioral health and billing records (protected health information) must be submitted in writing. Authorizations must be dated and signed by the patient or the patient’s legally authorized representative. In the case of a minor, a parent or legal guardian must sign the authorization.
CHN works to respond to all requests in a timely manner. Patients can expect to receive the requested records within 5 – 7 business days of the date CHN receives the medical records request.
CHN HAS AUTHORIZATION FORMS AVAILABLE TO DOWNLOAD
To release information to the patient and other healthcare organizations – CLICK HERE
To retrieve and release records to Community Health Network – CLICK HERE
Submitting an Authorization
Completed authorization forms may be submitted to CHN by fax, mail or in person
Medical Records Fax #: 281-220-6442
(This fax number applies to ALL requests)
Stephen F. Austin Community Health Network
Medical Records Dept.
1111 W. Adoue Street
Alvin, TX. 77511