Are you a new patient or do you have a child or dependent that will be a new patient? You can save the time required to fill out the new patient information by downloading this form so you can print it out and complete it on your own schedule. Just bring it with you at your next visit.
This Notice describes how your medical information may be used or under what circumstance it may be disclosed. Please review this information carefully.
If you have any questions about this notice, please contact Gus Khan or Justin Cogburn
Medical Records Release
Download and complete this form to authorize Lubbock Family Medicine to release your medical records. Return the completed form at your next visit.
Lubbock Family Medicine is an independently operated family practice established in Lubbock, Texas in 1999. We strive to provide quality healthcare to our patients. Our practice includes multiple physicians, nurse practitioners, physician assistants, nurses and many other staff members.