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.
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 Dallas, ROI Department,
P.O. Box 290489
Nashville, TN 37229-0489
Phone: (888) 749-7952
Patient fax line: (469) 484-2006
ROI Office Operating Hours
8:30 am to 4:00 pm
For calls left after business hours, your call will be returned the next business day.
Provider & Third Party Requests for Medical Record Copies
Healthcare Providers or other third party requestors, send your request to the address or fax number above. If you need your records immediately, please write this on the top of the form. Normal processing is 5 – 7 days. Please direct questions to COIX at (888) 749-7952.