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

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:

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