#17 Care Circle | Amarillo Texas | 79124
Call Us: 806.468.6277 Fax Us: 806.468.7174

 

Records Request

There is a $25.00 charge for medical records. Please allow up to 15 days in order for us to have the records copied. There is no limit to the amount of records that we will copy. There is a $5.00 charge to print a copy of a shot record for a patient, this is why we encourage parents to bring in their child's shot records each visit. Call 468.6277 to request copies or you may submit your request in the contact form and we will follow-up with you.

There will be a $20.00 fee for filling out all FMLA paperwork, Medical Action Plan, or any other form which requires the doctor’s time to fill out or process.

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*Contact Information:

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Last Name:
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*Name of Patient:

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