To Get Copies of Your Medical Records
- Click here to obtain the required Authorization to Disclose Protected Health Information.
- Fill out this form and mail to Dr. Brewton at:
Gary Brewton MD FACP
PO Box 541565
Houston TX 77254-1565
- PLEASE FILL OUT ALL INFORMATION on the form including address, phone number, and email.
- Please SIGN AND RETURN WITH $25 PAYMENT.
- If paying by credit card, be sure to give your name as it appears on the credit card, and include the billing zip code, expiration date, and security code.
The following forms concerning health care decisions are provided for your convenience.
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