- HIPAA Compliant Patient Authorization
- Memorial Hermann HIPAA Compliant Patient Authorization
- VA Medical Authorization
- Tax Return Authorization
- Military Records
- Social Security Earnings
- Social Security Disability Records
- *TWCC 153 Form (This form is used when you have the Claim #)
- *TWCC 155 Form (This form is used when you do NOT have the Claim #)
- Authorization To Disclose Protected Health Information
*Note: This form is NOT a request to be fulfilled by Nell McCallum & Associates. You must request these records directly from the law firm. The TWCC does not accept third-party request.