Medical Records Request

How do I request my child's medical records?

Many records can be requested through MyChart at no charge, learn more. 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

  1. Click on the button below for your language preference.
  2. Incomplete forms will be returned.
  3. Fill out the Authorization for the Inspection, Use, Disclosure and Release of Health Information editable pdf form:

    English Spanish

    Children’s Medical Center Dallas
    Health Information Management Department – Release of Information
    1935 Medical District Drive
    Dallas, Texas 75235

     

    Phone: 214-456-2509
    Fax: 214-456-6170

    Hours:
    Monday – Friday
    8 a.m. – 5 p.m.

    Children’s Medical Center Plano
    Health Information Management Department – Release of Information
    7601 Preston Road
    Plano, Texas 75024

    Phone: 469-303-2509
    Fax: 214-456-6170

    Hours:
    Monday – Friday
    8 a.m. – 5 p.m.

  • What are the requirements for medical records authorization release?

    It's your right to access your child's medical record within a reasonable time frame.

    We have safeguards in place to ensure that only patients, parents and legal guardians can access or share medical records. These safeguards are not meant to cause frustration to our families but instead to protect your families’ personal information.

    Records can be released to anyone who the patient or legal representative authorizes to receive such information. A valid authorization must contain the following information or the request will be returned:

    • 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?

    We often use the medical record number to lookup patient information so please protect this number. If you have any questions about your rights or to access information, please call the Medical Records department at:

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