Notice of Privacy Practices
Requesting Medical Records from Family Psychiatry
To request your medical records from Family Psychiatry, please fill out the required Medical Record Release Form. There will be a charge for all records. The entire chart is $25 and up (depending on size), and a digital PDF copy can be made available as well. You must bring your own flash drive to receive a PDF copy.
NOTE: Please allow three to five business days for our office to process your request and provide you with your records.
Requesting Medical Records for Family Psychiatry
To request your medical records to be transferred to Family Psychiatry, please fill out the New Patient Medical Record Release Form. Also, you can save time during your initial appointment by filling out the following forms ahead of time:
Consent to Evaluate and Treat a Minor Form
For your behavioral health appointment
Please download and print the following forms for your child’s behavioral appointment. We request that completed forms be turned into our office 3-5 days prior to your child’s appointment. Teacher forms should be given to all of your child’s teachers, tutors, coaches, etc. Any other information including but not limited to previous evaluations or testing would be helpful to have prior to your child’s appointment as well.
If you have questions, we’d be happy to answer them! Feel free to contact our office for information about our practice, policies or patient forms. With our new state-of-the-art facility in League City, we see many patients from surrounding cities, including Bayou Vista, Clear Lake, Dickinson, Friendswood, Galveston, Hitchcock, Jamaica Beach, Kemah, La Marque, League City, Santa Fe, Texas City and beyond. Feel free to contact us for more information about any forms.
