Proton Therapy Medical Records
If you or your physician needs copies of your medical records, please follow these steps and allow 3 to 5 business days for processing.
How to Request Medical Records
1. Download the authorization to disclose protected health information
Authorization To Disclose Protected Health Information (English)
Authorization To Disclose Protected Health Information (Spanish)
2. Complete the form
Fill out, print, and sign the form.
3. Submit the form by fax or mail
Submit the form by fax: 469-420-9619 or mail to:
Texas Center for Proton Therapy
1501 West Royal Lane
Irving, TX 75063
Medical records are stored at Texas Center for Proton Therapy.