Release of Records
The Authorization to Release Information form is for Counseling and Foster Care records only. For Adoption records please contact us at 713-730-2335.
For confidentiality purposes, only clients may request or authorize the release of their records. If the client is under the age of 18, the parent, conservator, or legal guardian may request or authorize the release of records.
Please fill out the Authorization to Release Information form completely.
Please note there is a fee for copying records.
Send the original to the Records Management Department, DePelchin Children’s Center, 4950 Memorial Drive, Houston, TX 77007.
A Records Management Technician will contact you regarding applicable fees and to make arrangements for the method of disclosure.
If you have further questions, please feel free to contact the Records Management Department at 713-802-3858 or firstname.lastname@example.org.
Please allow 14 days to process the request.