Records Requests

To request a copy of your or your child’s medical and/or mental health records, complete an Authorization to Release Information Form and:

  • 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