Salcido Family & Occupational Medicine, Odessa, TX

Patient Forms

Patient Forms

Medical Request Form

Use this form to request copies of medical records. Only patient or their legal representative may make a medical record request. Some requests may be subject to a reasonable fee. Please print.


Business Credit Application


Patient Registration

 

Mail completed forms to

Francisco Salcido M.D.
710 E. 6th street
Odessa, Texas 79761

Email medical request form to

MedicalRecords@DrSalcido.com

Email business credit application to

occmed@drsalcido.com

fax

432.582.2884