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hXe.io Multi-State HIPAA Authorization

AUTHORIZATION TO USE AND DISCLOSE PROTECTED HEALTH INFORMATION

For patients requesting their own records. For all others, please create an account here

Facility Information

You are authorizing the below healthcare provider to release records to yourself, through hXe.
Facility to Release Medical Records
More Info The facility information is pre-populated from the link you visited.

2220 E. Las Colinas Blvd, 1000, Irving, Texas 75039, United States

About

Estimated Time to Complete Form: 8 minutes

hXe's online authorization will be securely transmitted to the healthcare provider's staff to process. You will be able to track the progress of your request in your account. Once records are ready, you will receive a download notification to log in and download your records.

Time to fulfill medical record requests vary by healthcare providers depending on scope of information needed and internal turnaround times.

If you have any questions about obtaining your records, please contact the healthcare provider directly.

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