How to Request Records

Complete a records request form available online or at any HOTBHN facility.

Click Here for Online Records Request Form

Request for Records (English)

Request for Records (Spanish)

 

Click Here to Download Records Request Form

Request for Records PDF (English)

Request for Records PDF (Spanish)

Submit Requests By

Mail:
PO Box 890
Waco, TX 76703 

Fax: (254) 752-7421

Requests are processed in accordance with Texas law and HIPAA. 

You may exercise your rights without fear of retaliation. 

Information provided pursuant to Texas Health & Safety Code Chapter 181, including §§181.103 and 181.105.