Many records can be requested through MyChart at no charge. If you are not able to request copies of your child’s medical records through MyChart or do not have a MyChart account, you may submit a request in person, by mail, or fax. A copy fee may be applied for this type of request.
Steps to request medical records
- Click on the button below for your language preference.
- Incomplete forms will be returned.
- Fill out the Authorization for the Inspection, Use, Disclosure and Release of Health Information editable pdf form:
What are the requirements for medical records authorization release?
- Patient’s full name and date of birth.
- Specific information being requested (i.e. type of report/information, dates of service, etc)
- Purpose for which information may be disclosed (i.e. inspect health information, obtain a copy of health information)
- To whom the information is to be sent (name and address)
- Authorization’s expiration date if desired (otherwise the authorization will be valid for 180 days from date signed)
- Signature of patient or legal representative
- Date of signature
Please make sure the authorization/request is complete to avoid delays. Incomplete requests cannot be processed.
What is my child’s medical record number?
- Dallas: 214-456-2503
- Plano: 469-303-2509
