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.
4060 Medical Park Dr
Odessa, Texas 79765
Email medical request form to
Email business credit application to
Email Patient Registration form to
fax
432.582.2884