Request Copies of Your Medical Records
To obtain a copy of your medical records, please complete the medical records release form below and provide a copy of your driver's license.
Download Forms
Medical Records Release
For more information, view the Instructions for Completing the Authorization for Protected Health Information.
Upon completion, mail the completed form to:
Medical City Arlington, ROI Department,
10030 N MacArthur Blvd
Irving, TX 75063
Phone: (888) 749-7952
Patient fax line: (469) 484-2006
ROI Office Operating Hours
Monday-Friday:
8:30 am to 4:00 pm
For calls left after business hours, your call will be returned the next business day.
Continuity of Care Release of Information Fax Requests
If you are a facility or a doctor’s office requesting records on a patient currently being treated, or you are a patient requesting records be sent to a physician for continuation of care, please fax a completed release form to (469) 484-2006.
Certified Birth Certificates
When a child is born at Medical City Arlington we submit the Birth Certificate information to the Bureau of Vital Statistics. Certified Birth Certificates can only be obtained through the Bureau of Vital Statistics, which is part of the Texas Department of State Health Services. The hospital does not have a certified copy on file.
Obtaining a Certificate
For parents, or patients over the age of 18, to obtain a Birth Certificate, an application must be submitted to the Bureau of Vital Statistics.
The Bureau of Vital Statistics
Order a Copy of a Certified Birth Certificate from Texas Department of State Health Services website or fill out the application and submit to:
The Bureau of Vital Statistics, DSHS
PO Box 12040
Austin, TX 78711
Phone: (888) 963-7111