Hablamos español FLU SHOTS NOW AVAILABLE
Hablamos español FLU SHOTS NOW AVAILABLE
$25.00 for the first 20 pages / $0.50 for each additional page
$50.00 for the first 2 pages / $20.00 for each additional page
with Texas State Notary Seal
Texas State Notary - Must be present with valid ID
Must be paid prior to release
Please call the office during normal business hours for form specific charges.
Please note that a signed medical records affidavit must be provided before records will be sent. we accept cash, checks, money orders and debit/credit cards. please make checks/money orders payable to: coastal bend family medicine, p.a.
Here are some links to forms and tools to help you and our staff manage all your healthcare needs! Please print and fill out forms to be returned to the office. You may scan and email the forms to CBFMPA@cctxdoc.com or send via fax (361) 993-1748. If you have form filler software, you can fill online and email the forms direct.