We offer several ways to access your medical or dental records through our Coastal Health & Wellness Patient Portal.

The Patient Portal is an easy way to get in touch with your Coastal Health & Wellness team. It is a secure, internet application that allows you to view a summary of your health records and lab results on your desktop computer, laptop, tablet or smartphone 24 hours a day.

Please note, the Patient Portal offers a summary of records. If you are in need of a fully copy of your medical or dental records, please complete the Authorization to Release Protected Health Information form.

Once you've completed the Authorization to Release Protected Health Information form, sign and date the form. In order to verify your identification and validate your authorization, we require that you include a legible copy of a valid photo I.D. (e.g., driver license, military I.D. or state I.D.).

There are several ways to submit your Authorization to Release Protected Health Information form and valid identification.

• Upload your completed documents by logging into the Patient Portal and clicking on Ask a Question, Medical Record Question and Attachments. You can send your documents through the attachments feature.
• Fax your completed forms to 409.949.3465.
• Mail your completed forms to: CHW- Electronic Records - PO BOX 939, La Marque, Texas 77568
• Or, drop off your completed forms in the secure drop-off box at the Texas City clinic, Mid-County Annex - C, 9850 Emmett F. Lowry Expressway, Texas City, TX 77591.

For further information or assistance, call 409.949.3463. 

Urgent Requests, Records for your Physician, Insurance, Attorney, Disability and Third Party Requests

For immediate continuity of care, your healthcare provider can request records by faxing an authorized record release form/request to 409.949.3465 indicating the patient’s name, date of birth and date of visit in the facility.

Medical Record Amendment Requests

A patient has a right to request an amendment to his or her health record per 45 CFR §164.526 of the HIPAA Privacy Rule. The Privacy Rules provide reasons for why an amendment could be requested by a patient. For more information and how to, please view the Medical Record Amendment Requests Explanation Letter.