Due to the most recently added HIPAA regulations, designed to protect your privacy and ensure patient confidentiality, Azle Pediatrics will be unable to send medical records of any kind of facsimile. Medical records can be mailed directly to another physician or you may pick them up directly. For a medical records release form, go to the "New Patient Forms" link on our home page.
Faxing of Medical Records
909 Southeast Parkway, Suite 101, Azle, Texas 76020 Phone: 817-237-9225
Azle Pediatrics
School forms
The FIRST time a specific form is requested, we will provide this service at NO CHARGE. If the same form is requested again, Azle Pediatrics will charge a $5.00 fee per child per school year for completing school/daycare medical forms. This charge will cover all school/daycare physical exam forms, sports physical forms, authorization for prescription medicines at school, etc. This fee will be billable DIRECTLY to the patient’s account, not the insurance company.
