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

Email business credit application to