Step 1. – Download the “AuthorizationUseOrDisclosureHealthInformation” form below. (Release of Information Form)

Step 2. – Submit the completed form:

1. Submit the form online using the document submission Form at the very bottom of the page.
2. Deliver the completed form in person to the office.
3. Fax the completed form to 817.545.9134
4. Mail the completed form to the office: John Naus MD AP, 5017 Heritage Ave. #102, Colleyville/TX/76034.

Click to Download the Release of Information Form:  AuthorizationUseOrDiscloseHealthInformation- 10.26.17