Permian Basin Behavioral Health Center

Medical Records

The purpose of Release of Information is to provide copies of patient records to various requesters (i.e. patients, attorneys, insurance companies, etc.) for varied reasons.

When writing to obtain copies of records, please provide us with the following information:

  • The patient’s name at treatment
  • Patient’s date of birth
  • Patient’s Social Security number
  • The date(s) of treatment
  • Exact information from the date(s) of treatment
  • Where the information should be sent
  • Purpose of request
  • Sign and date the request
  • Contact phone number
  • Copy of photo ID

Please do not send requests for information or confidential information via e-mail. We cannot honor e-mail requests because a signature is required to release medical information.

The Release of Information will not provide records without a written request by the patient, the parent of a minor patient, or a legal representative. After the request is received, Release of Information should provide an answer in 15 working days. Copies of records are faxed only for emergency medical treatment (i.e. patient is in the Emergency Room or in Labor & Delivery).

There are fees to obtain copies of records. These fees must be paid prior to records being mailed to the requester. When a request is received, Release of Information will send the requester an invoice stating the fee for copies. The fees for copying records are set by the State of Texas and are reviewed for changes annually.

Download the English form by clicking HERE.
For the Spanish translation, click HERE.

Mail your written request to:

Midland Memorial Hospital
ATTN: Medical Records
400 Rosalind Redfern Grover Parkway
Midland, TX 79701
Fax (432)221-4670

If you need further information regarding the procedure to request copies of records, please call (432) 221-1600.


Birth Certificates

The Birth Certificate office is responsible for the completion of birth certificates of babies born at Midland Memorial Hospital. To obtain copies of birth certificates, parents should visit or call:

Midland County Clerk
500 N. Loraine, 4th Floor
Midland, TX 79701
Phone: (432) 688-4401 or Fax: (432) 688-4926
Hours of Operation: Monday - Friday 8 a.m. to 4:30 p.m.

Paternity questions should be directed to the Office of the Attorney General at (800) 252-8014. Social Security questions should be directed to (800) 772-1213.

Any questions regarding the actual completion of the birth certificate for babies born at Midland Memorial Hospital should be directed to (432) 221-3295.

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