Medical Records

Patient Online Access Form – This is exclusively for patients and legal guardians with legal paperwork requesting a copy of their medical records: https://myplatform.hds.sharecare.com/submission-tools/ui/patient?clientId=TX3391

Requester Submission Portal – This option is for healthcare providers, attorneys or if you are requesting the medical records of someone other than yourself and are not the legal guardian: https://myplatform.hds.sharecare.com/submission-tools/ui/pro?clientId=TX3391

Online Patient Request Tool

Release of Health Information 

Big Bend Regional Health Clinic has partnered with Sharecare to fulfill your requests for records.

Big Bend Regional Health Clinic is committed to protecting your medical information. For information about your rights and the obligations you have regarding the use and disclosure of your medical information, please see our Notice of Privacy Practices.

If you are our patient and would like to request your medical records, please click on the link below to complete your request for medical records. You will be required to provide a valid email address and a government-issued ID.

Click here to submit a request for medical records

If you are unable to complete the electronic form above, download and complete the paper form below. The authorization form must be legible and complete. Authorizations that are illegible or incomplete will be returned. Please note the processing of records is faster using the online form above.

Records are usually available within 10 days from the time the request is received. If you are picking up your medical records in person, please be sure to bring a government-issued ID. To arrange for another individual to pick up the documents for you, please indicate that on the authorization form, and ask them to bring their government-issued ID.

Only the patient, parent/legal guardian, or the patient’s legal health care representative can sign the form to release medical records. If you are requesting records on behalf of the patient or as the patient’s representative, please provide a copy of an Advance Directive/Durable Power of Attorney for healthcare/ Conservatorship.

 Request Submission for Third Party Requesters

If you are an attorney, insurance company, or any other entity requesting records from our facility, please click on the link below to upload your request along with the patient’s authorization.

Click here to submit a request for medical records