There are 3 methods you can use to request your medical records:
You may call “Medical Records Custodian” and leave a recorded message to address any other questions.
Want to submit your paperwork through the mail?
Download the form below and mail completed/signed form along with payment in full to:
Medical Records Custodian
Post Office Box 164
Athens, TX 75751
Medical Records Processing is $20 USD. We accept personal checks and cashier's checks made payable to: Ronald D. Cates, MD
PLEASE NOTE: If not submitted by selecting the “SUBMIT” button BEFORE closing this page, this form WILL NOT BE SAVED. All information recorded, if not submitted by selecting the “SUBMIT” button, will be deleted when this page is closed. Before beginning, have available all of your information required to complete this form in total and during the same sitting.