Michael J. Chiu, M.D., F.A.C.P

Las Colinas Adult Medicine Specialist, P.A.
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If you are a former patient of mine at my practice in Irving Texas and you need a copy of your records then please send a written request for your records to:

 

Las Colinas Adult Medicine Specialists, P.A.

P.O. Box 630933

Irving, TX  75063

 

Please include to whom you wish the records released to as well as an address.  The independent copying service that I have handling my old records requests will contact you about the cost for copying the records and make further arrangements to send you the records. 

 

 

If you are a University of Texas Southwestern Medical Center patient that I have seen since January 1, 2011 then direct your record request to:

 

UT Southwestern Medical Center

5303 Harry Hine Blvd.

Attention:  Release of Information

Mail Code:  8864

Dallas, TX  7390-8864

 

The following link has a form that you can download to request your records:

 

http://www.utsouthwestern.edu/pcare/files/cit_346371/20/57/353510Authorization_to_Disclose_Protected_Health_Information.pdf