Contact Numbers
- Medical Records: 972-969-2945
- Birth Certificate Registrar: 972-969-2231
- Release of Medical Information, please contact CIOX at 888-749-7952
We are pleased to have you as our patient at Medical City Las Colinas and are committed to helping you in any way possible. Here you can find some policies and forms that may be of assistance to you during and after your stay.
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 Las Colinas, ROI Department,
Dallas SSC
P.O. Box 290489
Nashville, TN 37229-0489
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.
For Film requests fax the Release of Medical Information Form to (972) 969-2503
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.