Medical Records Request
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
- Print and complete the Authorization for the Inspection, Use, Disclosure and Release of Health Information (English | Spanish).
- Mail or bring your completed forms to:
Children’s Medical Center
Health Information Management Department – Release of Information
1935 Medical District Drive
Dallas, Texas 75235
You may also fax your form to 214-456-6170.
Office phone number: 214-456-2509
Office 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
Office phone number: 469-303-2509;
Office Hours: Monday – Friday 8 a.m. – 5 p.m.
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Medical Records Authorization Requirements
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:
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Patient’s full name and date of birth.
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Specific information being requested (i.e. type of report/information, dates of service, etc)
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Purpose for which information may be disclosed (i.e. inspect health information, obtain a copy of health information)
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To whom the information is to be sent (name and address)
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Authorization’s expiration date if desired (otherwise the authorization will be valid for 180 days from date signed)
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Signature of patient or legal representative
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Date of signature
Please make sure the authorization/request is complete to avoid delays. Incomplete requests cannot be processed.
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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 Medical Records at:
Dallas: 214-456-2503
Plano: 469-303-2509