Release of Information

To request your records from our office, please fill out the form below, either online or print the PDF to fax. The explanation of charges for ROI's is available next to/below the ROI form button. There is a small fee for compiling records that our office requires as part of our ROI policy. 

Office Fax: 281.849.3870

Email: registration@creeksidetherapy.net

Release of Information Forms

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