For patients & families

Send us your documents.

Have a school form or records for our team? Upload them here and tell us what you need.

Patient & contact details

All fields are required unless marked optional.

Patient’s full name

Patient’s date of birth

Your full name

Your relationship to the patient

Email address

Phone number

Document type

What do you need us to do? (optional)

Choose documents

PDF, JPG, or PNG. Up to 3 files; 10 MB per file, 15 MB total.

Your files and the details on this form will be emailed to hello@txlungandsleep.com.