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Kelsey-Seybold Clinic fax number

(713) 442-3801

Medical Records Department

Used for: General clinic fax communications; appointment scheduling, referrals, and medical records/documents exchanges.

Fax destination details

Department
Medical Records Department
Purpose
General clinic fax communications; appointment scheduling, referrals, and medical records/documents exchanges.
Form
ROI_5.2024 — Authorization for Release of Healthcare Information
Address
1900 North Loop West, Ste 400, Houston, TX 77018
Voice phone
713-442-3800

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fill ROI form, select documents to disclose (e.g., complete record, immunization, history & physical, lab reports, etc.), indicate purpose (Continuity of Care, Legal, Financial/Benefits), specify recipient/submission method, sign and date; submit via encrypted email to ROI@Kelsey-Seybold.com, secure fax to 713-442-2804, or mail to Medical Records Department.

Review official form instructions

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