Medical Records Request

You can request copies of your medical records by coming by one of or offices and signing a medical record release.  Our friendly bilingual staff will be happy to assist you.


Roosevelt Avenue: 

3727 Roosevelt Ave,

San Antonio, TX


Somerset, TX:

19575 K. Street,

Somerset, TX


You will need to sign for the request of records from other doctors, hospitals, clinics or specialists; or you may request that we send copies of your records to specialists, hospitals or other primary care providers.

·         Medical release forms:

          Authorization release Medical Record

          Request for Correction / Edit to Medical Record

·         Medical Records Request Forms- English

          Medical Records Request Forms- Spanish

© 2017 Rocha Medical Clinic

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3727 Roosevelt Avenue San Antonio, TX 78214

Tel: 210-922-5922

19575 K St Somerset, TX 78069

Tel: 210-922-1144