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Medical Records

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Did you know you can request medical records by using MyChart at no charge?  Click here for more information.

If you are not able to request copies of your child’s medical records through Mychart, you may submit a request in person, by mail, or fax.  A copy fee may be applied for this type of request. 

Please follow the steps below:

  1. Print and complete the Authorization for the Inspection, Use, Disclosure and Release of Health Information (English | Spanish).  
  2. 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 is open 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 is open Monday – Friday 8 a.m. – 5 p.m.

Releasing Records

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.