Breast Center Only Request Medical Records

1. By Mail

DOWNLOAD THIS FORM, fill it in and send it by mail to:
TOPS Comprehensive Breast Center
Attention: HIM Department
17080 Red Oak Drive
Houston, Texas 77090

2. By E-Fax #: (281) 754-4220

DOWNLOAD THIS FORM, fill it in and fax it to the number above.

3. By email:

DOWNLOAD THIS FORM, fill it in, scan it as an image (.pdf, .jpg) and attach it to an email to [email protected].