Authorization Release — Enter the name of the doctors, medical facilities, or other health providers, and the name of the form. Release information to — Enter HHSC or list the provider. This ...

Click here for instructions on opening this form. Prepare when a general authorization to release medical information is needed to complete HHSC forms. Examples of forms that may require an ...

please complete the electronic “Authorization to Release Health Information” form through the MyCUHealth portal. Record requests will be processed within 30 days. If you would like a family member or ...

The Medical Practice Information Transfer (MPIT) Form is designed to support the appropriate transfer of information about a doctor’s practice to and from the doctor’s responsible officer. It can be ...