Patient Portal Login Home Patient Information About Us Our Services Request Appointment Mammograms – Click Here to Learn More A Unique Choice for Medical Care Serving East Texas families since 2000. Become a Patient Patient Portal Login Pay Online Follow us: facebook Tyler Telephone: (903) 533-0644 Fax: (903) 533-0441 1910 Roseland Blvd Tyler, Tx 75701 Hours Mon-Thurs: 8am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Lindale – Davis Medical Group Telephone: (903) 881-5165 Fax: (903) 881-5175 1379 Brad Circle Lindale, Tx 75771 Hours Mon-Thurs: 7:30am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Tyler Google Map Lindale Google Map Copyright 2021 Tyler Internal Medicine Associates - Designed by M. Roberts Digital

Patient Portal Login Home Patient Information About Us Our Services Request Appointment BECOME A PATIENT We are accepting new patients. You can also use Adobe Reader to open and print. If you do not have Adobe Reader installed on your computer, you can download it free here. Bring this form with you. -or- You may fax or mail to our office: Tyler Internal Medicine 1910 Roseland Blvd. Tyler, TX 75701 FAX (903)533-0441 Follow us: facebook Tyler Telephone: (903) 533-0644 Fax: (903) 533-0441 1910 Roseland Blvd Tyler, Tx 75701 Hours Mon-Thurs: 8am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Lindale – Davis Medical Group Telephone: (903) 881-5165 Fax: (903) 881-5175 1379 Brad Circle Lindale, Tx 75771 Hours Mon-Thurs: 7:30am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Tyler Google Map Lindale Google Map Copyright 2021 Tyler Internal Medicine Associates - Designed by M. Roberts Digital

Patient Portal Login Home Patient Information About Us Our Services Request Appointment MEDICAL RECORDS RELEASE FORM All fields are required. This form authorizes you to provide a copy, summary or narrative of your medical records or otherwise release confidential information. Download and Print You may fax or mail to our office: Tyler Internal Medicine 1910 Roseland Blvd. Tyler, TX 75701 FAX (903)533-0441 Follow us: facebook Tyler Telephone: (903) 533-0644 Fax: (903) 533-0441 1910 Roseland Blvd Tyler, Tx 75701 Hours Mon-Thurs: 8am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Lindale – Davis Medical Group Telephone: (903) 881-5165 Fax: (903) 881-5175 1379 Brad Circle Lindale, Tx 75771 Hours Mon-Thurs: 7:30am – 5pm Friday: 8am – 12pm Sat-Sun: Closed Tyler Google Map Lindale Google Map Copyright 2021 Tyler Internal Medicine Associates - Designed by M. Roberts Digital